| Indiana Neuropsychological Services | |
|
4043 S Webster St Kokomo IN 46902-6911 | |
| (765) 450-8204 | |
| (765) 450-8206 |
| Full Name | Indiana Neuropsychological Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 4043 S Webster St, Kokomo, Indiana |
| Authorized Official Name and Position | Paul J. Roberts (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 7654508204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Neuropsychological Services 4043 S Webster St Kokomo IN 46902-6911 Ph: (765) 450-8204 | Indiana Neuropsychological Services 4043 S Webster St Kokomo IN 46902-6911 Ph: (765) 450-8204 |
| NPI Number | 1275760696 |
|---|---|
| Provider Enumeration Date | 06/11/2009 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/22/2024 |
| Medicare PECOS PAC ID | 5092865808 |
|---|---|
| Medicare Enrollment ID | O20090616000757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275760696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 20040614A (Indiana) | Primary |
| Provider Name | Paul J Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922042647 PECOS PAC ID: 9133279946 Enrollment ID: I20130610000704 |
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