| Green Neuropsychology Corporation | |
|
111 Deerwood Rd Ste 305 San Ramon CA 94583-1530 | |
| (925) 938-5252 | |
| (925) 938-1343 |
| Full Name | Green Neuropsychology Corporation |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 111 Deerwood Rd Ste 305, San Ramon, California |
| Authorized Official Name and Position | Erin Green-krogmann (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8054515344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Neuropsychology Corporation 111 Deerwood Rd Ste 305 San Ramon CA 94583-1530 Ph: (925) 938-5252 | Green Neuropsychology Corporation 111 Deerwood Rd Ste 305 San Ramon CA 94583-1530 Ph: (925) 938-5252 |
| NPI Number | 1952017360 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952017360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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