| Clinical Neuropsychology Center Llc | |
|
200 Oakwood Ln 100 Hollywood FL 33020-1929 | |
| (877) 711-2128 | |
| (877) 711-2128 |
| Full Name | Clinical Neuropsychology Center Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 200 Oakwood Ln, Hollywood, Florida |
| Authorized Official Name and Position | Michael Collins (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 7542816634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Neuropsychology Center Llc 8610 Lakeside Bnd Parkland FL 33076-2884 Ph: (877) 711-2128 | Clinical Neuropsychology Center Llc 200 Oakwood Ln 100 Hollywood FL 33020-1929 Ph: (877) 711-2128 |
| NPI Number | 1922476985 |
|---|---|
| Provider Enumeration Date | 09/08/2015 |
| Last Update Date | 11/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922476985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | PY9314 (Florida) | Primary |
| 311500000X | Alzheimer Center (dementia Center) | PY9314 (Florida) | Secondary |
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