Great Lakes Institute For Neuropsychology & Behavioral Health in Greenwood - Health Service
Great Lakes Institute For Neuropsychology & Behavioral Health - NPI 1750599981
Great Lakes Institute For Neuropsychology & Behavioral Health is a Health Service in Greenwood, Indiana. Great Lakes Institute For Neuropsychology & Behavioral Health practices all healthcare services and medical treatments related to Health Service. The NPI Number for Great Lakes Institute For Neuropsychology & Behavioral Health is 1750599981. The last update date is 2020-03-19.
Great Lakes Institute For Neuropsychology & Behavioral Health's current location address is 494 S Emerson Ave, Greenwood, Indiana. You can contact this provider via phone number 3178893901 and fax number 3178893902. The mailing address for Great Lakes Institute For Neuropsychology & Behavioral Health is 494 S Emerson Ave, Greenwood, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Lakes Institute For Neuropsychology & Behavioral Health |
|---|---|
| Address | 494 S Emerson Ave, Greenwood, Indiana |
| Phone Number | 3178893901 |
| Fax Number | 3178893902 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pederson Lloyd Sanford |
| Credentials | PH.D. |
| Telephone Number | 3178893901 |
NPI Number Detail
| NPI Number | 1750599981 |
|---|---|
| Provider Enumeration Date | 2007-05-20 |
| Last Updated Date | 2020-03-19 |
Provider Mailing Address Detail
| Address | 494 S Emerson Ave |
|---|---|
| City | Greenwood |
| State | Indiana (IN) |
| Post Code | 461431912 |
| Phone Number | 3178893901 |
| Fax Number | 3178893902 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
|
Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200227370 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Great Lakes Institute For Neuropsychology & Behavioral Health by the Centers for Medicare & Medicaid Services?
The Great Lakes Institute For Neuropsychology & Behavioral Health has been issued the NPI (National Provider Identifier) 1750599981, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Great Lakes Institute For Neuropsychology & Behavioral Health located?
The Great Lakes Institute For Neuropsychology & Behavioral Health is located at 494 S Emerson Ave, Greenwood, IN 461431912.
What is Great Lakes Institute For Neuropsychology & Behavioral Health's specialized field of practice, and what is the corresponding taxonomy classification code?
The Great Lakes Institute For Neuropsychology & Behavioral Health's area of specialization is Health Service, and the corresponding taxonomy code that categorizes this field of practice is 103Th0100X.
When did Great Lakes Institute For Neuropsychology & Behavioral Health receive its 1750599981 assignment?
The Great Lakes Institute For Neuropsychology & Behavioral Health was assigned its 1750599981 on 2007-05-20, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Great Lakes Institute For Neuropsychology & Behavioral Health, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Great Lakes Institute For Neuropsychology & Behavioral Health, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-03-19.
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