BERKS NEUROPSYCHOLOGY LLC NPI 1790133742

NPI Information

  • NPI: 1790133742
  • Provider Name: BERKS NEUROPSYCHOLOGY, LLC
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Organization
  • Doing Business As: DAVID E. NICODEMUS, JR.
  • Address: 1623 MORGANTOWN RD
    READING, PA
    ZIP 19607
  • Phone: (610) 796-6422

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NPI Details

BERKS NEUROPSYCHOLOGY, LLC is a clinical neuropsychologist in Reading, 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. BERKS NEUROPSYCHOLOGY, LLC NPI is 1790133742. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As David E. Nicodemus, Jr..

The provider's business location address is:

1623 MORGANTOWN RD
READING, PA
ZIP 19607-455
Phone: (610) 796-6422
Fax: (610) 796-6470

The provider's authorized official is David Edward Nicodemus .
The authorized official title is Owner and has the following contact phone number (610) 921-3172.

The enumeration date for this NPI number is 6/1/2016 and was last updated on 6/1/2016.

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
1103TC0700XPsychologistClinicalPS007441LPENNSYLVANIANo
2103G00000XClinical NeuropsychologistPS007441LPENNSYLVANIAYes

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This page was last updated on: 3/30/2025

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