Organization
CHESAPEAKE NEUROPSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRINGTON R WENDELL PHD (OWNER)
(410) 975-5058
Entity
Organization
Contact information
Practice address
645 BALTIMORE ANNAPOLIS BLVD STE 220, SEVERNA PARK, MD 21146-3934
(410) 975-5058
Mailing address
645 BALTIMORE ANNAPOLIS BLVD STE 220, SEVERNA PARK, MD 21146-3934
(410) 975-5058
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
05406
MD
Other
Enumeration date
09/19/2017
Last updated
11/07/2019
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