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DIVERSIFIED PSYCHOLOGICAL RESOURCES P.C. NPI 1588711006


NPI Information

NPI: 1588711006
Provider Name: DIVERSIFIED PSYCHOLOGICAL RESOURCES, P.C.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
230 S. BROAD ST.
SUITE 1005
PHILADELPHIA, PA
ZIP 19102
Phone: (215) 988-9911
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DIVERSIFIED PSYCHOLOGICAL RESOURCES, P.C. is a clinical neuropsychologist in Philadelphia, PA. 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. DIVERSIFIED PSYCHOLOGICAL RESOURCES, P.C. NPI is 1588711006. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

230 S. BROAD ST.
SUITE 1005
PHILADELPHIA, PA
ZIP 19102-105
Phone: (215) 988-9911
Fax: (215) 988-9912

The provider's authorized official is Robert Lawrence Rider .
The authorized official title is Owner and has the following contact phone number (215) 988-9911.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 9/16/2022.


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
1103T00000XPsychologistPS003688-LPENNSYLVANIANo
2103TC0700XPsychologistClinicalPS003688-LPENNSYLVANIANo
3103G00000XClinical NeuropsychologistPS003688-LPENNSYLVANIAYes

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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