| Neuropsychology Clinic Pc | |
|
3100 N Dries Ln Ste 303 Peoria IL 61604-1265 | |
| (309) 686-9005 | |
| (309) 686-9020 |
| Full Name | Neuropsychology Clinic Pc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 3100 N Dries Ln, Peoria, Illinois |
| Authorized Official Name and Position | Rodney P Kurth (OFFICE MANAGER) |
| Authorized Official Contact | 3096869005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychology Clinic Pc 3100 N Dries Ln Ste 303 Peoria IL 61604-1265 Ph: (309) 686-9005 | Neuropsychology Clinic Pc 3100 N Dries Ln Ste 303 Peoria IL 61604-1265 Ph: (309) 686-9005 |
| NPI Number | 1659553444 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 05/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659553444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 071004929 (Illinois) | Primary |
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