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CONNECTICUT PEDIATRIC NEUROPSYCHOLOGY ASSOCIATES NPI 1306627708


NPI Information

NPI: 1306627708
Provider Name: CONNECTICUT PEDIATRIC NEUROPSYCHOLOGY ASSOCIATES
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
300 HEBRON AVE STE 111
GLASTONBURY, CT
ZIP 06033
Phone: (860) 633-8155
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CONNECTICUT PEDIATRIC NEUROPSYCHOLOGY ASSOCIATES is a clinical neuropsychologist in Glastonbury, CT. 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. CONNECTICUT PEDIATRIC NEUROPSYCHOLOGY ASSOCIATES NPI is 1306627708. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 HEBRON AVE STE 111
GLASTONBURY, CT
ZIP 06033-176
Phone: (860) 633-8155
Fax: (860) 633-8176

The provider's authorized official is Gary M. Isenberg .
The authorized official title is Pediatric Neuropsychologist and has the following contact phone number (860) 633-8155.

The enumeration date for this NPI number is 10/11/2023 and was last updated on 10/11/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 5/5/2024

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