| Magnolia Neuropsychology Corporation | |
|
440 E Huntington Dr Ste 300 Arcadia CA 91006-3775 | |
| (626) 823-2799 | |
| Not Available |
| Full Name | Magnolia Neuropsychology Corporation |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 440 E Huntington Dr Ste 300, Arcadia, California |
| Authorized Official Name and Position | Tammy Kealey (CEO) |
| Authorized Official Contact | 6268232799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Neuropsychology Corporation 440 E Huntington Dr Ste 300 Arcadia CA 91006-3775 Ph: (626) 823-2799 | Magnolia Neuropsychology Corporation 440 E Huntington Dr Ste 300 Arcadia CA 91006-3775 Ph: (626) 823-2799 |
| NPI Number | 1831836709 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 12/09/2022 |
| Certification Date | 12/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831836709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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