Provider Type Icon

WELLSTAR NEUROPSYCHOLOGY LLC NPI 1083880744


NPI Information

NPI: 1083880744
Provider Name: WELLSTAR NEUROPSYCHOLOGY, LLC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
677 CHURCH ST NE
MARIETTA, GA
ZIP 30060
Phone: (770) 793-6695
Get Directions

WELLSTAR NEUROPSYCHOLOGY, LLC is a clinical neuropsychologist in Marietta, GA. The provider is 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 the understanding of brain-behavior relationships and the application of such knowledge to human problems. WELLSTAR NEUROPSYCHOLOGY, LLC NPI is 1083880744. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

677 CHURCH ST NE
MARIETTA, GA
ZIP 30060-101
Phone: (770) 793-6695
Fax: (770) 793-7997

The provider's authorized official is Nicole Ashe .
The authorized official title is Executive Director Of Finance and has the following contact phone number (770) 792-5261.

The enumeration date for this NPI number is 5/2/2008 and was last updated on 2/24/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.