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COGWHEEL CLINIC FOR NEURODEVELOPMENT NPI 1194193698


NPI Information

NPI: 1194193698
Provider Name: COGWHEEL CLINIC FOR NEURODEVELOPMENT
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
2101 112TH AVE NE
SUITE 100
BELLEVUE, WA
ZIP 98004
Phone: (425) 748-7000
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COGWHEEL CLINIC FOR NEURODEVELOPMENT is a clinical neuropsychologist in Bellevue, WA. 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. COGWHEEL CLINIC FOR NEURODEVELOPMENT NPI is 1194193698. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2101 112TH AVE NE
SUITE 100
BELLEVUE, WA
ZIP 98004-944
Phone: (425) 748-7000

The provider's authorized official is Daniela Ferdico .
The authorized official title is Clinical Director and has the following contact phone number (425) 748-7000.

The enumeration date for this NPI number is 9/14/2015 and was last updated on 9/14/2015.


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 NeuropsychologistPY00002463WASHINGTONYes

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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