| Sierra Nevada Neuropsychology Inc. | |
|
900 E Main St Ste 106 Grass Valley CA 95945-5853 | |
| (844) 660-0355 | |
| (530) 446-6377 |
| Full Name | Sierra Nevada Neuropsychology Inc. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 900 E Main St Ste 106, Grass Valley, California |
| Authorized Official Name and Position | Barbara Ann Klein (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 8446600355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Nevada Neuropsychology Inc. 900 E Main St Ste 106 Grass Valley CA 95945-5853 Ph: (844) 660-0355 | Sierra Nevada Neuropsychology Inc. 900 E Main St Ste 106 Grass Valley CA 95945-5853 Ph: (844) 660-0355 |
| NPI Number | 1316698061 |
|---|---|
| Provider Enumeration Date | 01/14/2022 |
| Last Update Date | 01/14/2022 |
| Certification Date | 01/11/2022 |
| Medicare PECOS PAC ID | 4880087501 |
|---|---|
| Medicare Enrollment ID | O20220201002663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316698061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Jodi D Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427013259 PECOS PAC ID: 1557340635 Enrollment ID: I20040714000764 |
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