Organization
JOHNS HOPKINS UNIVERSITY
Active
Organization
JOHNS HOPKINS UNIVERSITY
Active
Parent organization
JOHNS HOPKINS UNIVERSITY
Other names
JHU - REHAB MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHNS HOPKINS UNIVERSITY
Authorized official
SHAVONDA L KEATING (SR PRODUCTION UNIT MGR)
(410) 933-6430
Entity
Organization
Contact information
Practice address
10803 FALLS RD, LUTHERVILLE, MD 21093-4518
(410) 532-4714
Mailing address
PO BOX 64407, BALTIMORE, MD 21264-4407
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040535900
—
DC
05
—
359501300
—
MD
01
—
CA7788
RRMC
MD
Enumeration date
06/27/2005
Last updated
02/27/2025
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