Neuropsychology Diagnostics Llc | |
220 Lenox Ave Ste 201 Westfield NJ 07090-5119 | |
(908) 868-8022 | |
Not Available |
Full Name | Neuropsychology Diagnostics Llc |
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Speciality | Clinical Neuropsychologist |
Location | 220 Lenox Ave Ste 201, Westfield, New Jersey |
Authorized Official Name and Position | Sara Michaud (CLINICAL NEUROPSYCHOLOGIST) |
Authorized Official Contact | 9089130694 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neuropsychology Diagnostics Llc 450 Kimball Turn Westfield NJ 07090-2325 Ph: (908) 868-8022 | Neuropsychology Diagnostics Llc 220 Lenox Ave Ste 201 Westfield NJ 07090-5119 Ph: (908) 868-8022 |
NPI Number | 1942876586 |
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Provider Enumeration Date | 06/03/2021 |
Last Update Date | 11/04/2022 |
Certification Date | 11/04/2022 |
Medicare PECOS PAC ID | 3274901319 |
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Medicare Enrollment ID | O20221122001441 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942876586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
Provider Name | Sara Marie Michaud |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1164959490 PECOS PAC ID: 4183092224 Enrollment ID: I20221122001597 |
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