SPORTS CONCUSSION INSTITUTE A PSYCHOLOGY GROUP INC NPI 1194896498

NPI Information

SPORTS CONCUSSION INSTITUTE A PSYCHOLOGY GROUP INC is a clinical neuropsychologist in Los Angeles, CA. 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. SPORTS CONCUSSION INSTITUTE A PSYCHOLOGY GROUP INC NPI is 1194896498. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5230 PACIFIC CONCOURSE DR
SUITE 300
LOS ANGELES, CA
ZIP 90045-200
Phone: (310) 643-9595
Fax: (310) 643-5180

The provider's authorized official is Tony L Strickland .
The authorized official title is Owner Provider and has the following contact phone number (310) 643-9595.

The enumeration date for this NPI number is 11/10/2006 and was last updated on 1/9/2017.

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:

Other Identifiers

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