Center For Cognitive Testing | |
1172 Beacon St Ste 101 Newton MA 02461-1147 | |
(617) 993-4567 | |
Not Available |
Full Name | Center For Cognitive Testing |
---|---|
Speciality | Clinical Neuropsychologist |
Location | 1172 Beacon St Ste 101, Newton, Massachusetts |
Authorized Official Name and Position | Virginie Patt (CLINICAL NEUROPSYCHOLOGIST) |
Authorized Official Contact | 6179934567 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Center For Cognitive Testing 12 Middlesex Rd Unit 67122 Chestnut Hill MA 02467-6705 Ph: (617) 993-4567 | Center For Cognitive Testing 1172 Beacon St Ste 101 Newton MA 02461-1147 Ph: (617) 993-4567 |
NPI Number | 1699497545 |
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Provider Enumeration Date | 09/16/2022 |
Last Update Date | 11/18/2022 |
Certification Date | 11/18/2022 |
Medicare PECOS PAC ID | 5597136432 |
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Medicare Enrollment ID | O20230201000173 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699497545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
Provider Name | Virginie Patt |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1114660925 PECOS PAC ID: 4587035423 Enrollment ID: I20230201000201 |
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