Individual provider · Type 1 NPI

Autumn Skye Ivy

Neurology with Special Qualifications in Child Neurology Physician · Baltimore, MD

NPI number 1659638666 Active

Practice location

1800 Orleans Street
Baltimore, MD 21264-4203

Fax (410) 955-0737

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004

Other practice locations

  • 1201 W La Veta Ave, Orange, CA 92868-4203 · (888) 770-2462

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XA126865 (CA)
Neurology with Special Qualifications in Child Neurology Physician 2084N0402XA126865 (CA)
Neurology with Special Qualifications in Child Neurology Physician Primary 2084N0402XD0101347 (MD)

Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

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About NPI 1659638666

Autumn Skye Ivy's National Provider Identifier is 1659638666, issued on Apr 13, 2012. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Baltimore, MD. The record was last updated on Aug 15, 2024.