| Comprehensive Neuropsychological Services | |
|
815 John Harper Rd Unit 13 Pioneer Village KY 40165 | |
| (502) 504-5231 | |
| (502) 504-5205 |
| Full Name | Comprehensive Neuropsychological Services |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 815 John Harper Rd Unit 13, Pioneer Village, Kentucky |
| Authorized Official Name and Position | Brenda Carol Parker (PRESIDENT) |
| Authorized Official Contact | 5025045231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Neuropsychological Services 815 John Harper Rd Unit 13 Pioneer Village KY 40165-7463 Ph: (502) 504-5231 | Comprehensive Neuropsychological Services 815 John Harper Rd Unit 13 Pioneer Village KY 40165 Ph: (502) 504-5231 |
| NPI Number | 1861798068 |
|---|---|
| Provider Enumeration Date | 02/04/2011 |
| Last Update Date | 03/21/2019 |
| Medicare PECOS PAC ID | 1456630706 |
|---|---|
| Medicare Enrollment ID | O20161109002433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861798068 | NPI | - | NPPES |
| P0022962 | Other | PASSPORT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1618 (Kentucky) | Primary |
| 103T00000X | Psychologist | 1618 (Kentucky) | Secondary |
| Provider Name | Brenda C Parker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871899062 PECOS PAC ID: 0547554818 Enrollment ID: I20161109002641 |
| Provider Name | Anne Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174061675 PECOS PAC ID: 7416226733 Enrollment ID: I20170629002836 |