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THE NEUROPSYCHOLOGY CENTER LLC NPI 1568644995


NPI Information

NPI: 1568644995
Provider Name: THE NEUROPSYCHOLOGY CENTER, LLC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
6000 SHAKERAG HL
SUITE 216
PEACHTREE CITY, GA
ZIP 30269
Phone: (770) 632-1088
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THE NEUROPSYCHOLOGY CENTER, LLC is a clinical neuropsychologist in Peachtree City, GA. 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. THE NEUROPSYCHOLOGY CENTER, LLC NPI is 1568644995. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6000 SHAKERAG HL
SUITE 216
PEACHTREE CITY, GA
ZIP 30269-523
Phone: (770) 632-1088
Fax: (770) 632-2088

The provider's authorized official is Alfonso Martinez .
The authorized official title is Owner / Neuropsychologist and has the following contact phone number (770) 632-1088.

The enumeration date for this NPI number is 11/27/2007 and was last updated on 11/28/2007.


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
1103G00000XClinical NeuropsychologistPSY3117GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
154463YMEDICARE PINFLORIDA

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: 4/28/2024

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