| Neusab | |
|
14300 Gallant Fox Ln 107 Bowie MD 20715-4003 | |
| (301) 852-3479 | |
| Not Available |
| Full Name | Neusab |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 14300 Gallant Fox Ln, Bowie, Maryland |
| Authorized Official Name and Position | Patricia Nicole Hudson-henry (OWNER) |
| Authorized Official Contact | 3018523479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neusab 12416 Skylark Ln Bowie MD 20715-2121 Ph: (301) 852-3479 | Neusab 14300 Gallant Fox Ln 107 Bowie MD 20715-4003 Ph: (301) 852-3479 |
| NPI Number | 1821532813 |
|---|---|
| Provider Enumeration Date | 12/09/2016 |
| Last Update Date | 12/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821532813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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