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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