| New Connections Neuropsychology, Pc | |
|
1057 Macarthur Blvd Ste 214 San Leandro CA 94577 | |
| (510) 944-0221 | |
| Not Available |
| Full Name | New Connections Neuropsychology, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1057 Macarthur Blvd, San Leandro, California |
| Authorized Official Name and Position | Maryann Kruse Bens (PRESIDENT) |
| Authorized Official Contact | 5109440221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Connections Neuropsychology, Pc 1057 Macarthur Blvd Ste 214 San Leandro CA 94577-3000 Ph: (510) 944-0221 | New Connections Neuropsychology, Pc 1057 Macarthur Blvd Ste 214 San Leandro CA 94577 Ph: (510) 944-0221 |
| NPI Number | 1871070052 |
|---|---|
| Provider Enumeration Date | 07/20/2018 |
| Last Update Date | 07/22/2018 |
| Medicare PECOS PAC ID | 9830435114 |
|---|---|
| Medicare Enrollment ID | O20190108000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871070052 | NPI | - | NPPES |
| 1891296760 | Other | NPPES |
| Provider Name | Maryann Kruse Bens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891296760 PECOS PAC ID: 1658617931 Enrollment ID: I20190114000387 |
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