| Neuropsychologyca | |
|
9663 Santa Monica Blvd # 1058 Beverly Hills CA 90210-4303 | |
| (424) 245-5524 | |
| Not Available |
| Full Name | Neuropsychologyca |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 9663 Santa Monica Blvd # 1058, Beverly Hills, California |
| Authorized Official Name and Position | Alexandrea Park (EXECUTIVE) |
| Authorized Official Contact | 4242455524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychologyca 9663 Santa Monica Blvd # 1058 Beverly Hills CA 90210-4303 Ph: (424) 245-5524 | Neuropsychologyca 9663 Santa Monica Blvd # 1058 Beverly Hills CA 90210-4303 Ph: (424) 245-5524 |
| NPI Number | 1093156630 |
|---|---|
| Provider Enumeration Date | 07/11/2013 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093156630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 25773 (California) | Primary |
| 103TH0004X | Psychologist - Health | 25773 (California) | Secondary |
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