Psychological And Neurobehavioral Services P A in Lakeland - Clinical Neuropsychologist
Psychological And Neurobehavioral Services P A - NPI 1528127081
Psychological And Neurobehavioral Services P A is a Clinical Neuropsychologist in Lakeland, Florida. Psychological And Neurobehavioral Services P A practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Psychological And Neurobehavioral Services P A is 1528127081. The last update date is 2008-06-05.
Psychological And Neurobehavioral Services P A's current location address is 4720 Cleveland Heights Blvd, Lakeland, Florida. You can contact this provider via phone number 8637019202 and fax number 8637019262. The mailing address for Psychological And Neurobehavioral Services P A is 4720 Cleveland Heights Blvd, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Psychological And Neurobehavioral Services P A |
|---|---|
| Address | 4720 Cleveland Heights Blvd, Lakeland, Florida |
| Phone Number | 8637019202 |
| Fax Number | 8637019262 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Henley G. Tracey |
| Credentials | PSY D |
| Telephone Number | 8637019202 |
NPI Number Detail
| NPI Number | 1528127081 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2008-06-05 |
Provider Mailing Address Detail
| Address | 4720 Cleveland Heights Blvd |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 338132243 |
| Phone Number | 8637019202 |
| Fax Number | 8637019262 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
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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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What is the unique identification code assigned to Psychological And Neurobehavioral Services P A by the Centers for Medicare & Medicaid Services?
The Psychological And Neurobehavioral Services P A has been issued the NPI (National Provider Identifier) 1528127081. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Psychological And Neurobehavioral Services P A is physically located?
The Psychological And Neurobehavioral Services P A is physically situated at the following address: 4720 Cleveland Heights Blvd, Lakeland, FL, 338132243.
What is Psychological And Neurobehavioral Services P A's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Psychological And Neurobehavioral Services P A is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1528127081 to Psychological And Neurobehavioral Services P A?
The Centers for Medicare & Medicaid Services originally issued the 1528127081 to Psychological And Neurobehavioral Services P A on 2006-12-08.
As of what date was the information regarding Psychological And Neurobehavioral Services P A, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Psychological And Neurobehavioral Services P A, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-05.