| Neurodiversity Psychological Corporation | |
|
4447 Palo Verde Ave Lakewood CA 90713-2950 | |
| (562) 794-3412 | |
| Not Available |
| Full Name | Neurodiversity Psychological Corporation |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4447 Palo Verde Ave, Lakewood, California |
| Authorized Official Name and Position | Lindsay N. Campbell (OWNER) |
| Authorized Official Contact | 5627943412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurodiversity Psychological Corporation 6510 E Spring St # 622 Long Beach CA 90815-1554 Ph: (562) 794-3412 | Neurodiversity Psychological Corporation 4447 Palo Verde Ave Lakewood CA 90713-2950 Ph: (562) 794-3412 |
| NPI Number | 1962295352 |
|---|---|
| Provider Enumeration Date | 05/28/2025 |
| Last Update Date | 05/28/2025 |
| Certification Date | 05/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962295352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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