Organization
JEFFREY R. CAMPODONICO, PH.D., P.A.
Active
Organization
JEFFREY R. CAMPODONICO, PH.D., P.A.
Active
Other names
NeuroHealth Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY RUDOLPH CAMPODONICO PH.D. (PRESIDENT/CEO)
(410) 337-6801
Entity
Organization
Contact information
Practice address
120 SISTER PIERRE DR, SUITE 501, TOWSON, MD 21204-7516
(410) 337-6801
(410) 337-8686
Mailing address
529 PICCADILLY RD, TOWSON, MD 21204-3716
(410) 598-4966
(410) 337-8686
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3071
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KEJ2
BLUECROSS/BLUE SHIELD
MD
Enumeration date
03/13/2008
Last updated
03/13/2008
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