Organization
JOHNS HOPKINS UNIVERSITY
Active
Parent organization
JOHNS HOPKINS UNIVERSITY
Other names
JHU - PSYCHIATRY/PHD'S
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
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5129
Mailing address
PO BOX 64260, BALTIMORE, MD 21264-4260
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
MD
103TC0700X
Clinical Psychologist
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161121600
—
MD
01
—
CD6088
RRMC
MD
Enumeration date
12/02/2005
Last updated
07/21/2022
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