| Comprehensive Neuropsychology Llc | |
|
1859 N Paris Ave Port Royal SC 29935-2029 | |
| (843) 271-3737 | |
| (800) 853-3788 |
| Full Name | Comprehensive Neuropsychology Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1859 N Paris Ave, Port Royal, South Carolina |
| Authorized Official Name and Position | Joseph E Conroy (DIRECTOR) |
| Authorized Official Contact | 8432713737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Neuropsychology Llc 1859 N Paris Ave Port Royal SC 29935-2029 Ph: (843) 271-3737 | Comprehensive Neuropsychology Llc 1859 N Paris Ave Port Royal SC 29935-2029 Ph: (843) 271-3737 |
| NPI Number | 1336307271 |
|---|---|
| Provider Enumeration Date | 05/28/2008 |
| Last Update Date | 12/20/2016 |
| Medicare PECOS PAC ID | 9032283718 |
|---|---|
| Medicare Enrollment ID | O20161025000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336307271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | SI00335600 (New Jersey) | Primary |
| Provider Name | Joseph E Conroy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952325730 PECOS PAC ID: 5496829178 Enrollment ID: I20161025000114 |
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