PEDIATRIC NEUROLOGY NPI 1811054372

NPI Information

NPI: 1811054372
Provider Name: PEDIATRIC NEUROLOGY
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
7645 WOLF RIVER CIR
GERMANTOWN, TN
ZIP 38138
Phone: (901) 405-0275
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PEDIATRIC NEUROLOGY is a neurology with special qualifications in child neurology psychiatry neurology in Germantown, TN. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. PEDIATRIC NEUROLOGY NPI is 1811054372. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7645 WOLF RIVER CIR
GERMANTOWN, TN
ZIP 38138-751
Phone: (901) 405-0275

The provider's authorized official is Loretta Mosiej Brown .
The authorized official title is Office Administrator and has the following contact phone number (901) 405-0275.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 5/19/2008.

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	Primary
1	2080P0006X	Pediatrics	Developmental - Behavioral Pediatrics	No
2	2084N0600X	Psychiatry & Neurology	Clinical Neurophysiology	No
3	2084P0005X	Psychiatry & Neurology	Neurodevelopmental Disabilities	No
4	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	Yes

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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