MEDICARE: SPARROW NEUROPSYCHOLOGY, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103G00000X	Clinical Neuropsychologist	03955	MD
2	103TC0700X	Clinical Psychologist	03955	MD
3	103T00000X	Psychologist	03955	MD
4	103TM1800X	Intellectual & Developmental Disabilities Psychologist	03955	MD
5	103TC2200X	Clinical Child & Adolescent Psychologist	03955	MD

General Provider Information

NPI Number	:	1194869412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPARROW NEUROPSYCHOLOGY, P.A.

Provider Business Mailing Address
First Line	:	16918 YORK RD
Second Line	:	SUITE 201
City	:	MONKTON
State	:	MD
Zip	:	21111-1022
Country	:	US
Telephone Number	:	410-357-0339
Fax Number	:	410-357-0348

Provider Business Practice Location Address
First Line	:	16918 YORK RD
Second Line	:	SUITE 201
City	:	MONKTON
State	:	MD
Zip	:	21111-1022
Country	:	US
Telephone Number	:	410-357-0339
Fax Number	:	410-357-0348

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ELIZABETH P. SPARROW
Credential	:	PH.D.
Telephone Number	:	410-357-0339

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	09/11/2025

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