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PEDIATRIC NEUROPSYCHOLOGY ASSOCIATES PLLC NPI 1760744718


NPI Information

NPI: 1760744718
Provider Name: PEDIATRIC NEUROPSYCHOLOGY ASSOCIATES PLLC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization

CLIA Number: 37D0470934

Address:
3330 NW 56TH ST
SUITE 305
OKLAHOMA CITY, OK
ZIP 73112
Phone: (405) 713-7065
Get Directions

PEDIATRIC NEUROPSYCHOLOGY ASSOCIATES PLLC is a clinical neuropsychologist in Oklahoma City, OK. 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. PEDIATRIC NEUROPSYCHOLOGY ASSOCIATES PLLC NPI is 1760744718. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3330 NW 56TH ST
SUITE 305
OKLAHOMA CITY, OK
ZIP 73112-479
Phone: (405) 713-7065
Fax: (405) 713-7064

The provider's authorized official is Lori Holmquist-day .
The authorized official title is Pediatric Neuropsychologist and has the following contact phone number (405) 713-7065.

The CLIA number assigned to this NPI record is 37D0470934 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2012 and was last updated on 6/14/2012.


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 Neuropsychologist944OKLAHOMAYes

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
1200013880BMEDICAIDOKLAHOMA

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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