| Neuropsychological Consultants, Inc | |
|
4630 W Jefferson Blvd Unit 1 Fort Wayne IN 46804-6856 | |
| (260) 409-2099 | |
| (260) 436-2135 |
| Full Name | Neuropsychological Consultants, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 4630 W Jefferson Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Heidi L Musgrave (CEO) |
| Authorized Official Contact | 2604092099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychological Consultants, Inc 6435 W Jefferson Blvd Pmb 145 Fort Wayne IN 46804-6203 Ph: (260) 409-2099 | Neuropsychological Consultants, Inc 4630 W Jefferson Blvd Unit 1 Fort Wayne IN 46804-6856 Ph: (260) 409-2099 |
| NPI Number | 1508845496 |
|---|---|
| Provider Enumeration Date | 01/10/2006 |
| Last Update Date | 11/24/2014 |
| Medicare PECOS PAC ID | 9638133283 |
|---|---|
| Medicare Enrollment ID | O20041115000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508845496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Heidi L Musgrave |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639161532 PECOS PAC ID: 7012983984 Enrollment ID: I20040902000892 |
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