Connected Cognition Llc | |
1345 Nw Wall St Ste 303 Bend OR 97703-1970 | |
(781) 288-5141 | |
(541) 797-6471 |
Full Name | Connected Cognition Llc |
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Speciality | Clinical Neuropsychologist |
Location | 1345 Nw Wall St Ste 303, Bend, Oregon |
Authorized Official Name and Position | Robyn Ashley Migliorini (OWNER) |
Authorized Official Contact | 7812885141 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Connected Cognition Llc 1345 Nw Wall St Ste 303 Bend OR 97703-1970 Ph: (781) 288-5141 | Connected Cognition Llc 1345 Nw Wall St Ste 303 Bend OR 97703-1970 Ph: (781) 288-5141 |
NPI Number | 1124661152 |
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Provider Enumeration Date | 10/22/2019 |
Last Update Date | 10/27/2021 |
Certification Date | 10/27/2021 |
Medicare PECOS PAC ID | 5193158335 |
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Medicare Enrollment ID | O20191203000202 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124661152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
Provider Name | Charlie Nichole Knowlton |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1972952414 PECOS PAC ID: 9133527849 Enrollment ID: I20211011002606 |
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