| Coastal Bend Neuropsychology | |
|
4646 Corona Dr Ste 258 Corpus Christi TX 78411-4320 | |
| (361) 334-0256 | |
| (361) 400-5558 |
| Full Name | Coastal Bend Neuropsychology |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 4646 Corona Dr Ste 258, Corpus Christi, Texas |
| Authorized Official Name and Position | Leanne Marie Buttross (OWNER/CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 3613340256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Bend Neuropsychology 4646 Corona Dr Ste 258 Corpus Christi TX 78411-4320 Ph: (361) 334-0256 | Coastal Bend Neuropsychology 4646 Corona Dr Ste 258 Corpus Christi TX 78411-4320 Ph: (361) 334-0256 |
| NPI Number | 1447897913 |
|---|---|
| Provider Enumeration Date | 12/04/2019 |
| Last Update Date | 12/04/2019 |
| Medicare PECOS PAC ID | 0143657916 |
|---|---|
| Medicare Enrollment ID | O20200218000780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447897913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Leanne Marie Buttross |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821288267 PECOS PAC ID: 4486784360 Enrollment ID: I20200218001010 |
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