Aaa Neuropsychology, Llc | |
101 Lindenwood Dr Suite 225 Malvern PA 19355-1755 | |
(484) 870-5608 | |
Not Available |
Full Name | Aaa Neuropsychology, Llc |
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Speciality | Psychologist |
Location | 101 Lindenwood Dr, Malvern, Pennsylvania |
Authorized Official Name and Position | Farzin Irani (PSYCHOLOGIST) |
Authorized Official Contact | 4848705608 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aaa Neuropsychology, Llc 101 Lindenwood Dr Suite 225 Malvern PA 19355-1755 Ph: (484) 870-5608 | Aaa Neuropsychology, Llc 101 Lindenwood Dr Suite 225 Malvern PA 19355-1755 Ph: (484) 870-5608 |
NPI Number | 1053744201 |
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Provider Enumeration Date | 08/12/2013 |
Last Update Date | 08/12/2013 |
Medicare PECOS PAC ID | 8022250166 |
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Medicare Enrollment ID | O20130820000271 |
Identifier | Type | State | Issuer |
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1053744201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | PS017067 (Pennsylvania) | Primary |
Provider Name | Farzin Irani |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1679853899 PECOS PAC ID: 6406021641 Enrollment ID: I20111216000060 |
Provider Name | Kelly Elizabeth Kollias |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1871978833 PECOS PAC ID: 3779899679 Enrollment ID: I20180207001776 |
Provider Name | Samantha Foreman |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1275294126 PECOS PAC ID: 2163814146 Enrollment ID: I20220125001879 |
Provider Name | Sarajane Elizabeth Rodgers |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1992326920 PECOS PAC ID: 5496101545 Enrollment ID: I20231025001739 |
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