| Center For Neuropsychological Enhancement, Inc | |
|
11882 Greenville Ave Ste 121 Dallas TX 75243-3567 | |
| (972) 424-9212 | |
| (972) 509-1450 |
| Full Name | Center For Neuropsychological Enhancement, Inc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 11882 Greenville Ave Ste 121, Dallas, Texas |
| Authorized Official Name and Position | Gregg D'angelo (CLINICIAN) |
| Authorized Official Contact | 9724249212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Neuropsychological Enhancement, Inc 11882 Greenville Ave Ste 121 Dallas TX 75243-3567 Ph: (972) 424-9212 | Center For Neuropsychological Enhancement, Inc 11882 Greenville Ave Ste 121 Dallas TX 75243-3567 Ph: (972) 424-9212 |
| NPI Number | 1144387051 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 09/19/2014 |
| Medicare PECOS PAC ID | 4486643954 |
|---|---|
| Medicare Enrollment ID | O20040510000982 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144387051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Gregg D D'angelo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598776593 PECOS PAC ID: 7719976299 Enrollment ID: I20040510001179 |
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