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MERIDIAN NEUROPSYCHOLOGY PLLC NPI 1114321163


NPI Information

NPI: 1114321163
Provider Name: MERIDIAN NEUROPSYCHOLOGY PLLC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
3061 S MERIDIAN RD
STE 100
MERIDIAN, ID
ZIP 83642
Phone: (208) 895-9852
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MERIDIAN NEUROPSYCHOLOGY PLLC is a clinical neuropsychologist in Meridian, ID. 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. MERIDIAN NEUROPSYCHOLOGY PLLC NPI is 1114321163. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3061 S MERIDIAN RD
STE 100
MERIDIAN, ID
ZIP 83642-962
Phone: (208) 895-9852
Fax: (208) 629-1231

The provider's authorized official is Jason Southwick .
The authorized official title is Manager and has the following contact phone number (208) 895-9852.

The enumeration date for this NPI number is 10/20/2014 and was last updated on 10/20/2014.


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
1103TC0700XPsychologistClinicalPSY-202728IDAHONo
2103G00000XClinical NeuropsychologistPSY-202728IDAHOYes

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: 11/14/2023

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