Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mid Atlantic Neuropsychology LLC

Organization Clinical Neuropsychologist · NPI 1245701713

Mid Atlantic Neuropsychology LLC is a Clinical Neuropsychologist in Baltimore, Maryland. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1501 Sulgrave Ave Ste 209
Baltimore, MD 21209-3650
Phone: (410) 205-9820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2311 Hanway Rd, Baltimore, MD 21209-2601 — (917) 783-0634

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X

Record details

NPI number1245701713
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Priluck — President · (410) 205-9820
NPI enumeratedDecember 10, 2018
Last updated in NPPESJanuary 12, 2023
Certification dateJanuary 12, 2023
Mailing address1501 Sulgrave Ave Ste 209, Baltimore, MD 21209-3650

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