| Center For Neuropsychology | |
|
2628 Victor Ave Ste B Redding CA 96002-1454 | |
| (530) 710-1070 | |
| Not Available |
| Full Name | Center For Neuropsychology |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2628 Victor Ave Ste B, Redding, California |
| Authorized Official Name and Position | Tammy Grabreck (PRESIDENT) |
| Authorized Official Contact | 5307101070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Neuropsychology 2628 Victor Ave Ste B Redding CA 96002-1454 Ph: (530) 710-1070 | Center For Neuropsychology 2628 Victor Ave Ste B Redding CA 96002-1454 Ph: (530) 710-1070 |
| NPI Number | 1477090488 |
|---|---|
| Provider Enumeration Date | 01/28/2017 |
| Last Update Date | 12/23/2020 |
| Certification Date | 12/23/2020 |
| Medicare PECOS PAC ID | 4183901234 |
|---|---|
| Medicare Enrollment ID | O20170427002300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477090488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY26823 (California) | Primary |
| Provider Name | Tammy Lee Grabreck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922411396 PECOS PAC ID: 2860718244 Enrollment ID: I20150302001276 |
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