Shoreline Pediatric Neuropsychological Services, Llc in Old Saybrook - Clinical Neuropsychologist
Shoreline Pediatric Neuropsychological Services, Llc - NPI 1992999767
Shoreline Pediatric Neuropsychological Services, Llc is a Clinical Neuropsychologist in Old Saybrook, Connecticut. Shoreline Pediatric Neuropsychological Services, Llc practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Shoreline Pediatric Neuropsychological Services, Llc is 1992999767. The last update date is 2015-04-06.
Shoreline Pediatric Neuropsychological Services, Llc's current location address is Po Box 303, Old Saybrook, Connecticut. You can contact this provider via phone number 8603882000 and fax number 8603882000. The mailing address for Shoreline Pediatric Neuropsychological Services, Llc is Po Box 303, Old Saybrook, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shoreline Pediatric Neuropsychological Services, Llc |
|---|---|
| Address | Po Box 303, Old Saybrook, Connecticut |
| Phone Number | 8603882000 |
| Fax Number | 8603882000 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PEDIATRIC |
|---|---|
| Authorized Official Name | Pelletier Frazier Shelley |
| Credentials | PH.D. |
| Telephone Number | 8603882000 |
NPI Number Detail
| NPI Number | 1992999767 |
|---|---|
| Provider Enumeration Date | 2007-09-05 |
| Last Updated Date | 2015-04-06 |
Provider Mailing Address Detail
| Address | Po Box 303 |
|---|---|
| City | Old Saybrook |
| State | Connecticut (CT) |
| Post Code | 6475 |
| Phone Number | 8603882000 |
| Fax Number | 8603882000 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 2736 |
|
Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Shoreline Pediatric Neuropsychological Services, Llc by the Centers for Medicare & Medicaid Services?
The Shoreline Pediatric Neuropsychological Services, Llc has been assigned the NPI (National Provider Identifier) 1992999767 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Shoreline Pediatric Neuropsychological Services, Llc?
The Shoreline Pediatric Neuropsychological Services, Llc is situated at Po Box 303, in the city of Old Saybrook, state of CT, with the zip code 6475.
What is the Shoreline Pediatric Neuropsychological Services, Llc's area of specialization and corresponding taxonomy classification?
The Shoreline Pediatric Neuropsychological Services, Llc's specialty field is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their specialties.
When did the Shoreline Pediatric Neuropsychological Services, Llc receive its 1992999767?
The Shoreline Pediatric Neuropsychological Services, Llc was issued its 1992999767 on 2007-09-05, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Shoreline Pediatric Neuropsychological Services, Llc most recently updated or revised?
The information pertaining to Shoreline Pediatric Neuropsychological Services, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2015-04-06.
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