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MIDWEST NEUROPSYCHOLOGY PLLC NPI 1699078626


NPI Information

NPI: 1699078626
Provider Name: MIDWEST NEUROPSYCHOLOGY, PLLC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
3301 30TH AVE S STE 101
GRAND FORKS, ND
ZIP 58201
Phone: (701) 780-9700
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MIDWEST NEUROPSYCHOLOGY, PLLC is a clinical neuropsychologist in Grand Forks, ND. 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. MIDWEST NEUROPSYCHOLOGY, PLLC NPI is 1699078626. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3301 30TH AVE S STE 101
GRAND FORKS, ND
ZIP 58201-009
Phone: (701) 780-9700
Fax: (701) 780-9709

The provider's authorized official is Susan J Thompson .
The authorized official title is Neuropsychologist and has the following contact phone number (701) 780-9700.

The enumeration date for this NPI number is 12/14/2010 and was last updated on 4/18/2014.


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 NeuropsychologistYes

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
1000015495MEDICAIDNORTH DAKOTA
2N715763OTHERNORTH DAKOTAMEDICARE PART B

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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