| Ec Neuropsychological Health Pc | |
|
3645 Haven Ave Apt 4201 Menlo Park CA 94025-1085 | |
| (619) 874-2625 | |
| Not Available |
| Full Name | Ec Neuropsychological Health Pc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 3645 Haven Ave Apt 4201, Menlo Park, California |
| Authorized Official Name and Position | Wing Man Elizabeth Choi (FOUNDER) |
| Authorized Official Contact | 6198742625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ec Neuropsychological Health Pc 3645 Haven Ave Apt 4201 Menlo Park CA 94025-1085 Ph: (619) 874-2625 | Ec Neuropsychological Health Pc 3645 Haven Ave Apt 4201 Menlo Park CA 94025-1085 Ph: (619) 874-2625 |
| NPI Number | 1669238044 |
|---|---|
| Provider Enumeration Date | 02/23/2024 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Medicare PECOS PAC ID | 1759722796 |
|---|---|
| Medicare Enrollment ID | O20240508002976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669238044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Wing Man Elizabeth Choi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134825268 PECOS PAC ID: 2062887375 Enrollment ID: I20230418001673 |
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