| Pediatric Neuropsychological Services, Llc | |
|
7 Garage Rd Unit D Southbury CT 06488-3884 | |
| (203) 262-4482 | |
| Not Available |
| Full Name | Pediatric Neuropsychological Services, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 7 Garage Rd, Southbury, Connecticut |
| Authorized Official Name and Position | Richard H Grayson (DIRECTOR) |
| Authorized Official Contact | 2032624482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Neuropsychological Services, Llc 7 Garage Rd Unit D Southbury CT 06488-3884 Ph: (203) 262-4482 | Pediatric Neuropsychological Services, Llc 7 Garage Rd Unit D Southbury CT 06488-3884 Ph: (203) 262-4482 |
| NPI Number | 1730227745 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 02/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730227745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 002567 (Connecticut) | Primary |
| 103G00000X | Clinical Neuropsychologist | 015711-1 (New York) | Secondary |
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