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PLATTSBURGH STATE UNIVERSITY NPI 1982971941


NPI Information

NPI: 1982971941
Provider Name: PLATTSBURGH STATE UNIVERSITY

Doing Business As: NORTH COUNTRY REGIONAL TBI CENTER

Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
101 BROAD ST
BEAMONT 404
PLATTSBURGH, NY
ZIP 12901
Phone: (518) 564-2155
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PLATTSBURGH STATE UNIVERSITY is a clinical neuropsychologist in Plattsburgh, NY. 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. PLATTSBURGH STATE UNIVERSITY NPI is 1982971941. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As North Country Regional Tbi Center.

The provider's business location address is:

101 BROAD ST
BEAMONT 404
PLATTSBURGH, NY
ZIP 12901-637
Phone: (518) 564-2155

The provider's authorized official is Michael Edwin Simpson .
The authorized official title is Director Of Sponsored Research and has the following contact phone number (518) 564-2155.

The enumeration date for this NPI number is 11/18/2011 and was last updated on 11/18/2011.


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
1103T00000XPsychologist013297NEW YORKNo
2103G00000XClinical Neuropsychologist013297NEW YORKYes

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: 5/5/2024

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