SearchMarylandClinical Neuropsychologist

Johnathan Vital, PH.D

NPI 1477810067 · on the registry since 2012 · sole proprietor

Practice

Address
2413 Altenburg Ct
Waldorf, MD 20603
Phone
(301) 653-8828
Fax
(202) 558-7113

Registry record

Primary taxonomy
Clinical Neuropsychologist
103G00000X
Also registered as
Psychologist
Clinical Neuropsychologist
Psychologist
Licence states on file
MD, DC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-04-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland