| Brookings Neuropsychology Services | |
|
928 4th St Suite 6 Brookings SD 57006-2171 | |
| (605) 692-6367 | |
| (605) 692-1883 |
| Full Name | Brookings Neuropsychology Services |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 928 4th St, Brookings, South Dakota |
| Authorized Official Name and Position | Thomas Rauby Shaffer (CLINIC MANAGER) |
| Authorized Official Contact | 6056926367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookings Neuropsychology Services Po Box 931 Brookings SD 57006-0931 Ph: (605) 692-6367 | Brookings Neuropsychology Services 928 4th St Suite 6 Brookings SD 57006-2171 Ph: (605) 692-6367 |
| NPI Number | 1023368016 |
|---|---|
| Provider Enumeration Date | 09/17/2012 |
| Last Update Date | 09/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023368016 | NPI | - | NPPES |
| 6552660 | Medicaid | SD | |
| S102729 | Other | MEDICARE PTAN/ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 472 (South Dakota) | Primary |
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