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NEURO PLLC NPI 1003542069


NPI Information

NPI: 1003542069
Provider Name: NEURO PLLC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
15600 36TH AVE N STE 140
PLYMOUTH, MN
ZIP 55446
Phone: (763) 308-5772
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NEURO PLLC is a clinical neuropsychologist in Plymouth, MN. 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. NEURO PLLC NPI is 1003542069. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15600 36TH AVE N STE 140
PLYMOUTH, MN
ZIP 55446-372
Phone: (763) 308-5772
Fax: (612) 392-7974

The provider's authorized official is Anthony Odland .
The authorized official title is Owner/ceo and has the following contact phone number (320) 491-8233.

The enumeration date for this NPI number is 8/1/2022 and was last updated on 8/1/2022.


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

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.