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PATH NEUROPSYCHOLOGY LLC NPI 1427763945


NPI Information

NPI: 1427763945
Provider Name: PATH NEUROPSYCHOLOGY, LLC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
2812 MACK RD
FAIRFIELD, OH
ZIP 45014
Phone: (513) 429-9886
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PATH NEUROPSYCHOLOGY, LLC is a clinical neuropsychologist in Fairfield, OH. 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. PATH NEUROPSYCHOLOGY, LLC NPI is 1427763945. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2812 MACK RD
FAIRFIELD, OH
ZIP 45014-130
Phone: (513) 429-9886

The provider's authorized official is Shawna Jacob .
The authorized official title is Clinical Psychologist and has the following contact phone number (513) 813-5327.

The enumeration date for this NPI number is 1/18/2023 and was last updated on 3/22/2023.


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

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