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HEARTLAND NEUROPSYCHOLOGY SVCS LLC NPI 1881839157


NPI Information

NPI: 1881839157
Provider Name: HEARTLAND NEUROPSYCHOLOGY SVCS, LLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 17D1105081

Address:
8338 W 13TH ST N
WICHITA, KS
ZIP 67212
Phone: (203) 654-0990
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HEARTLAND NEUROPSYCHOLOGY SVCS, LLC is a specialist in Wichita, KS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HEARTLAND NEUROPSYCHOLOGY SVCS, LLC NPI is 1881839157. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8338 W 13TH ST N
WICHITA, KS
ZIP 67212-900
Phone: (203) 654-0990

The provider's authorized official is Shelley Jo Mcdaniel .
The authorized official title is Neuropsychologist and has the following contact phone number (203) 654-0990.

The CLIA number assigned to this NPI record is 17D1105081 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2008 and was last updated on 4/2/2009.


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
1174400000XSpecialistYes

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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