| Neuropsychology Consultants, Llc | |
|
195 Danbury Rd Ste 230 Wilton CT 06897-4075 | |
| (203) 855-9691 | |
| (203) 855-7743 |
| Full Name | Neuropsychology Consultants, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 195 Danbury Rd Ste 230, Wilton, Connecticut |
| Authorized Official Name and Position | Robert Phillip Tepley (MEMBER/OWNER) |
| Authorized Official Contact | 2038559691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychology Consultants, Llc 195 Danbury Rd Ste 230 Wilton CT 06897-4075 Ph: (203) 855-9691 | Neuropsychology Consultants, Llc 195 Danbury Rd Ste 230 Wilton CT 06897-4075 Ph: (203) 855-9691 |
| NPI Number | 1942208814 |
|---|---|
| Provider Enumeration Date | 07/13/2005 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/03/2024 |
| Medicare PECOS PAC ID | 0345135828 |
|---|---|
| Medicare Enrollment ID | O20040216000642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942208814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 002279 (Connecticut) | Primary |
| 1041C0700X | Social Worker - Clinical | 001410 (Connecticut) | Secondary |
| Provider Name | Karen J Salzarulo Rattan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356327332 PECOS PAC ID: 0840275830 Enrollment ID: I20040623000543 |
| Provider Name | Cheree L Fenske |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356573547 PECOS PAC ID: 7315083474 Enrollment ID: I20101217000118 |
| Provider Name | Robert P Tepley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346248200 PECOS PAC ID: 9234024712 Enrollment ID: I20111214001087 |
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