NEUROPSYCH WELLNESS LLC NPI 1740914159

NPI Information

  • NPI: 1740914159
  • Provider Name: NEUROPSYCH WELLNESS LLC
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Organization
  • Address: 110 E BROWARD BLVD STE 1700
    FORT LAUDERDALE, FL
    ZIP 33301
  • Phone: (917) 626-6017

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NPI Details

NEUROPSYCH WELLNESS LLC is a clinical neuropsychologist in Fort Lauderdale, FL. 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. NEUROPSYCH WELLNESS LLC NPI is 1740914159. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

110 E BROWARD BLVD STE 1700
FORT LAUDERDALE, FL
ZIP 33301-500
Phone: (917) 626-6017

The provider's authorized official is Theodoros Tsaousides .
The authorized official title is Neuropsychologist and has the following contact phone number (917) 626-6017.

The enumeration date for this NPI number is 7/12/2022 and was last updated on 7/12/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical NeuropsychologistYes

What is NPI?

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This page was last updated on: 11/21/2025

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