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NEUROPSYCHOLOGICAL SERVICES OF SOUTHEASTERN WISCONSINLTD NPI 1902456569


NPI Information

NPI: 1902456569
Provider Name: NEUROPSYCHOLOGICAL SERVICES OF SOUTHEASTERN WISCONSIN,LTD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
200 S EXECUTIVE DR STE 101
BROOKFIELD, WI
ZIP 53005
Phone: (262) 780-1592
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NEUROPSYCHOLOGICAL SERVICES OF SOUTHEASTERN WISCONSIN,LTD is a clinical neuropsychologist in Brookfield, WI. 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. NEUROPSYCHOLOGICAL SERVICES OF SOUTHEASTERN WISCONSIN,LTD NPI is 1902456569. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 S EXECUTIVE DR STE 101
BROOKFIELD, WI
ZIP 53005-216
Phone: (262) 780-1592
Fax: (262) 303-4161

The provider's authorized official is Pamela Mcmurray .
The authorized official title is Neuropsychologist/owner and has the following contact phone number (262) 751-4499.

The enumeration date for this NPI number is 9/16/2019 and was last updated on 12/3/2020.


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 NeuropsychologistYes

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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