| Brighter Future Neuropsychology And Therapy Clinic, Inc | |
|
1368 Lincoln Ave Ste 212 San Rafael CA 94901-2147 | |
| (510) 838-2242 | |
| Not Available |
| Full Name | Brighter Future Neuropsychology And Therapy Clinic, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1368 Lincoln Ave, San Rafael, California |
| Authorized Official Name and Position | Melanie Summerhayes (PRESIDENT) |
| Authorized Official Contact | 5108382242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brighter Future Neuropsychology And Therapy Clinic, Inc 1005 Northgate Dr Ste 165 San Rafael CA 94903-2500 Ph: (510) 838-2242 | Brighter Future Neuropsychology And Therapy Clinic, Inc 1368 Lincoln Ave Ste 212 San Rafael CA 94901-2147 Ph: (510) 838-2242 |
| NPI Number | 1154076420 |
|---|---|
| Provider Enumeration Date | 02/15/2022 |
| Last Update Date | 06/23/2023 |
| Certification Date | 06/23/2023 |
| Medicare PECOS PAC ID | 6204222714 |
|---|---|
| Medicare Enrollment ID | O20220411000928 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154076420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melanie Rene Summerhayes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851621650 PECOS PAC ID: 7618363110 Enrollment ID: I20220411001137 |
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