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

Neurospark Health PLLC

Organization Clinical Psychologist · NPI 1174345029

Neurospark Health PLLC is a Clinical Psychologist in Preston, Maryland. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

23330 Holly Park Dr
Preston, MD 21655-1817
Phone: (206) 802-4259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1174345029
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Landry — Owner · (206) 802-4259
NPI enumeratedOctober 30, 2024
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing address23330 Holly Park Dr, Preston, MD 21655-1817

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