| Nova Neuropsychology Llc | |
|
110 Washington Ave Lowr Level North Haven CT 06473-1723 | |
| (203) 479-0554 | |
| (833) 411-6631 |
| Full Name | Nova Neuropsychology Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 110 Washington Ave Lowr Level, North Haven, Connecticut |
| Authorized Official Name and Position | Kristen Wrocklage (OWNER) |
| Authorized Official Contact | 2034790554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Neuropsychology Llc 110 Washington Ave Lowr Level North Haven CT 06473-1723 Ph: (203) 479-0554 | Nova Neuropsychology Llc 110 Washington Ave Lowr Level North Haven CT 06473-1723 Ph: (203) 479-0554 |
| NPI Number | 1730656844 |
|---|---|
| Provider Enumeration Date | 10/26/2018 |
| Last Update Date | 10/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730656844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
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