MEMORY CLINIC INC. NPI 1205359213

NPI Information

MEMORY CLINIC, INC. is a behavioral neurology and neuropsychiatry psychiatry neurology in Bennington, VT. The provider is behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. MEMORY CLINIC, INC. NPI is 1205359213. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

357 SHIELDS DR
BENNINGTON, VT
ZIP 05201-810
Phone: (802) 447-1409

The provider's authorized official is Cynthia Murphy .
The authorized official title is Director and has the following contact phone number (802) 447-1409.

The CLIA number assigned to this NPI record is 47D0987230 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2017 and was last updated on 3/16/2021.

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:

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