| Pediatric Neuropsychology Associates Pllc | |
|
3330 Nw 56th St Suite 305 Oklahoma City OK 73112-4479 | |
| (405) 713-7065 | |
| (405) 713-7064 |
| Full Name | Pediatric Neuropsychology Associates Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 3330 Nw 56th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Lori Holmquist-day (PEDIATRIC NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 4057137065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Neuropsychology Associates Pllc 3330 Nw 56th St Suite 305 Oklahoma City OK 73112-4479 Ph: (405) 713-7065 | Pediatric Neuropsychology Associates Pllc 3330 Nw 56th St Suite 305 Oklahoma City OK 73112-4479 Ph: (405) 713-7065 |
| NPI Number | 1760744718 |
|---|---|
| Provider Enumeration Date | 06/14/2012 |
| Last Update Date | 06/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760744718 | NPI | - | NPPES |
| 200013880B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 944 (Oklahoma) | Primary |
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