92 Brick Road Operating Company Llc in Marlton - Clinical Neuropsychologist

92 Brick Road Operating Company Llc - NPI 1528258191

92 Brick Road Operating Company Llc is a Clinical Neuropsychologist in Marlton, New Jersey. 92 Brick Road Operating Company Llc practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for 92 Brick Road Operating Company Llc is 1528258191. The last update date is 2013-08-08.

92 Brick Road Operating Company Llc's current location address is 92 Brick Rd, Marlton, New Jersey. You can contact this provider via phone number 8569888778 and fax number 8569888254. The mailing address for 92 Brick Road Operating Company Llc is 92 Brick Rd, Marlton, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization 92 Brick Road Operating Company Llc
Address 92 Brick Rd, Marlton, New Jersey
Phone Number 8569888778
Fax Number 8569888254
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Hollinger E. Brad
Telephone Number 7175915700

NPI Number Detail

NPI Number 1528258191
Provider Enumeration Date 2007-07-30
Last Updated Date 2013-08-08

Provider Mailing Address Detail

Address 92 Brick Rd
City Marlton
State New Jersey (NJ)
Post Code 80532177
Phone Number 8569888778
Fax Number 8569888254

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1060000 NJ AMERIHEALTH/KEYSTONE

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FAQs about 92 Brick Road Operating Company Llc

What is the unique 10-digit identification code assigned to 92 Brick Road Operating Company Llc by the Centers for Medicare & Medicaid Services?

The 92 Brick Road Operating Company Llc has been issued the NPI (National Provider Identifier) 1528258191, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the 92 Brick Road Operating Company Llc located?

The 92 Brick Road Operating Company Llc is located at 92 Brick Rd, Marlton, NJ 80532177.

What is 92 Brick Road Operating Company Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for 92 Brick Road Operating Company Llc is Clinical Neuropsychologist, and the taxonomy classification code that categorizes this area of expertise is 103G00000X.

When did 92 Brick Road Operating Company Llc receive its 1528258191 assignment?

The 92 Brick Road Operating Company Llc was assigned its 1528258191 on 2007-07-30, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to 92 Brick Road Operating Company Llc last refreshed?

The information related to the 92 Brick Road Operating Company Llc, including its address, specialty, and other relevant details, was last updated on 2013-08-08.

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