| Neurobehavioral Associates Ltd | |
|
462 Park Ave West Mansfield OH 44906 | |
| (419) 529-9944 | |
| (419) 529-9989 |
| Full Name | Neurobehavioral Associates Ltd |
|---|---|
| Speciality | Psychologist |
| Location | 462 Park Ave West, Mansfield, Ohio |
| Authorized Official Name and Position | Diana Sue Wilkerson (PRESIDENT) |
| Authorized Official Contact | 4195299944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurobehavioral Associates Ltd 462 Park Ave West Mansfield OH 44906 Ph: (419) 529-9944 | Neurobehavioral Associates Ltd 462 Park Ave West Mansfield OH 44906 Ph: (419) 529-9944 |
| NPI Number | 1871570390 |
|---|---|
| Provider Enumeration Date | 12/27/2005 |
| Last Update Date | 01/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871570390 | NPI | - | NPPES |
| 2294360 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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