Provider Demographics
NPI:1194869412
Name:SPARROW NEUROPSYCHOLOGY, P.A.
Entity type:Organization
Organization Name:SPARROW NEUROPSYCHOLOGY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:P
Authorized Official - Last Name:SPARROW
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-357-0339
Mailing Address - Street 1:16918 YORK RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MONKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21111-1022
Mailing Address - Country:US
Mailing Address - Phone:410-357-0339
Mailing Address - Fax:410-357-0348
Practice Address - Street 1:16918 YORK RD
Practice Address - Street 2:SUITE 201
Practice Address - City:MONKTON
Practice Address - State:MD
Practice Address - Zip Code:21111-1022
Practice Address - Country:US
Practice Address - Phone:410-357-0339
Practice Address - Fax:410-357-0348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03955103G00000X, 103T00000X, 103TC0700X, 103TC2200X, 103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
Not Answered103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Multi-Specialty