South Sound Neuropsychology Inc. | |
108 22nd Ave Sw Suite 14 Olympia WA 98501-2871 | |
(360) 402-5523 | |
(360) 786-5250 |
Full Name | South Sound Neuropsychology Inc. |
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Speciality | Clinical Neuropsychologist |
Location | 108 22nd Ave Sw, Olympia, Washington |
Authorized Official Name and Position | Howard A Lloyd (PRESIDENT/OWNER) |
Authorized Official Contact | 3604025523 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Sound Neuropsychology Inc. Po Box 4152 Tumwater WA 98501-0152 Ph: (360) 402-5523 | South Sound Neuropsychology Inc. 108 22nd Ave Sw Suite 14 Olympia WA 98501-2871 Ph: (360) 402-5523 |
NPI Number | 1174796833 |
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Provider Enumeration Date | 04/02/2008 |
Last Update Date | 04/02/2008 |
Identifier | Type | State | Issuer |
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1174796833 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | PY00002390 (Washington) | Primary |
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