| Central Coast Neuropsychology, Inc | |
|
2774 Jefferson St Carlsbad CA 92008-1769 | |
| (833) 926-3876 | |
| (833) 997-0837 |
| Full Name | Central Coast Neuropsychology, Inc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2774 Jefferson St, Carlsbad, California |
| Authorized Official Name and Position | Catherine June Ward (SECRETARY) |
| Authorized Official Contact | 8339263876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Coast Neuropsychology, Inc 1549 N Vulcan Ave Spc 1 Encinitas CA 92024-1547 Ph: (833) 926-3876 | Central Coast Neuropsychology, Inc 2774 Jefferson St Carlsbad CA 92008-1769 Ph: (833) 926-3876 |
| NPI Number | 1114696705 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 09/08/2021 |
| Certification Date | 08/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114696705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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