| Mountainside Neuropsychology, Llc | |
|
608 Sherwood Pkwy Ste 2d Mountainside NJ 07092-2512 | |
| (908) 913-0462 | |
| Not Available |
| Full Name | Mountainside Neuropsychology, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 608 Sherwood Pkwy Ste 2d, Mountainside, New Jersey |
| Authorized Official Name and Position | Anjuli Bodapati (OWNER) |
| Authorized Official Contact | 9089130462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountainside Neuropsychology, Llc 306 Woods End Rd Westfield NJ 07090-2908 Ph: (845) 797-8390 | Mountainside Neuropsychology, Llc 608 Sherwood Pkwy Ste 2d Mountainside NJ 07092-2512 Ph: (908) 913-0462 |
| NPI Number | 1386444065 |
|---|---|
| Provider Enumeration Date | 03/13/2025 |
| Last Update Date | 03/13/2025 |
| Certification Date | 03/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386444065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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