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CENTER FOR NEUROPOTENTIAL NPI 1467992453


NPI Information

NPI: 1467992453
Provider Name: CENTER FOR NEUROPOTENTIAL
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization

CLIA Number: 07D2161470

Address:
173 MONTOWESE ST
REAR UNIT
BRANFORD, CT
ZIP 06405
Phone: (475) 221-8108
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CENTER FOR NEUROPOTENTIAL is a clinical neuropsychologist in Branford, 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. CENTER FOR NEUROPOTENTIAL NPI is 1467992453. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

173 MONTOWESE ST
REAR UNIT
BRANFORD, CT
ZIP 06405-887
Phone: (475) 221-8108

The provider's authorized official is Amy Palmer .
The authorized official title is Partner and has the following contact phone number (475) 221-8108.

The CLIA number assigned to this NPI record is 07D2161470 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/24/2017 and was last updated on 2/24/2017.


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
1101Y00000XCounselorNo
2103G00000XClinical Neuropsychologist002416CONNECTICUTYes

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

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