Organization
NEUROSPARK HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE M LANDRY PSYD, ABPP (OWNER)
(206) 802-4259
Entity
Organization
Contact information
Practice address
23330 HOLLY PARK DR, PRESTON, MD 21655-1817
(206) 802-4259
Mailing address
23330 HOLLY PARK DR, PRESTON, MD 21655-1817
(206) 802-4259
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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