| Haven Cognitive Care, A Psychological Corporation | |
|
745 Distel Dr Ste 122 Los Altos CA 94022-1523 | |
| (650) 472-9672 | |
| Not Available |
| Full Name | Haven Cognitive Care, A Psychological Corporation |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 745 Distel Dr Ste 122, Los Altos, California |
| Authorized Official Name and Position | Joelle I. Broffman (PRESIDENT) |
| Authorized Official Contact | 6504729672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Cognitive Care, A Psychological Corporation 745 Distel Dr Ste 122 Los Altos CA 94022-1523 Ph: () - | Haven Cognitive Care, A Psychological Corporation 745 Distel Dr Ste 122 Los Altos CA 94022-1523 Ph: (650) 472-9672 |
| NPI Number | 1699531814 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699531814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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