Jeffrey R. Campodonico, Ph.D., P.A. in Towson - Clinical Neuropsychologist
Jeffrey R. Campodonico, Ph.D., P.A. - NPI 1790956118
Jeffrey R. Campodonico, Ph.D., P.A. is a Clinical Neuropsychologist in Towson, Maryland. Jeffrey R. Campodonico, Ph.D., P.A. practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Jeffrey R. Campodonico, Ph.D., P.A. is 1790956118. The last update date is 2008-03-13.
Jeffrey R. Campodonico, Ph.D., P.A.'s current location address is 529 Piccadilly Rd, Towson, Maryland. You can contact this provider via phone number 4105984966 and fax number 4103378686. The mailing address for Jeffrey R. Campodonico, Ph.D., P.A. is 529 Piccadilly Rd, Towson, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jeffrey R. Campodonico, Ph.D., P.A. |
|---|---|
| Address | 529 Piccadilly Rd, Towson, Maryland |
| Phone Number | 4105984966 |
| Fax Number | 4103378686 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Campodonico Rudolph Jeffrey |
| Credentials | PH.D. |
| Telephone Number | 4103376801 |
NPI Number Detail
| NPI Number | 1790956118 |
|---|---|
| Provider Enumeration Date | 2008-03-13 |
| Last Updated Date | 2008-03-13 |
Provider Mailing Address Detail
| Address | 529 Piccadilly Rd |
|---|---|
| City | Towson |
| State | Maryland (MD) |
| Post Code | 212043716 |
| Phone Number | 4105984966 |
| Fax Number | 4103378686 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 3071 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| KEJ2 | MD | BLUECROSS/BLUE SHIELD |
Post Comment/ Review Below
What is the Jeffrey R. Campodonico, Ph.D., P.A.'s 1790956118?
The Jeffrey R. Campodonico, Ph.D., P.A.'s NPI (National Provider Identifier) Number is 1790956118. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jeffrey R. Campodonico, Ph.D., P.A. is geographically located?
The Jeffrey R. Campodonico, Ph.D., P.A. is physically situated at the following location: 529 Piccadilly Rd, Towson, MD, 212043716.
What is Jeffrey R. Campodonico, Ph.D., P.A.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jeffrey R. Campodonico, Ph.D., P.A. is Clinical Neuropsychologist, and the taxonomy classification code that categorizes this area of expertise is 103G00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790956118 to Jeffrey R. Campodonico, Ph.D., P.A.?
The Centers for Medicare & Medicaid Services originally issued the 1790956118 to Jeffrey R. Campodonico, Ph.D., P.A. on 2008-03-13.
When was the information pertaining to Jeffrey R. Campodonico, Ph.D., P.A. most recently updated or revised?
The details related to Jeffrey R. Campodonico, Ph.D., P.A., including its address, specialty, and other relevant information, were last updated or revised on 2008-03-13.