| Neurodiverse Diagnostics Pllc | |
|
996 Royal Marco Way Marco Island FL 34145-1829 | |
| (469) 694-1754 | |
| (818) 758-8015 |
| Full Name | Neurodiverse Diagnostics Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 996 Royal Marco Way, Marco Island, Florida |
| Authorized Official Name and Position | Doreen Granpeesheh (CEO) |
| Authorized Official Contact | 4696941754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurodiverse Diagnostics Pllc 996 Royal Marco Way Marco Island FL 34145-1829 Ph: (469) 694-1754 | Neurodiverse Diagnostics Pllc 996 Royal Marco Way Marco Island FL 34145-1829 Ph: (469) 694-1754 |
| NPI Number | 1407678113 |
|---|---|
| Provider Enumeration Date | 10/25/2024 |
| Last Update Date | 10/25/2024 |
| Certification Date | 10/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407678113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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