Southern Indiana Rehabilitation Hospital Neuropsych Group | |
3104 Blackiston Blvd New Albany IN 47150-9579 | |
(812) 941-8300 | |
Not Available |
Full Name | Southern Indiana Rehabilitation Hospital Neuropsych Group |
---|---|
Speciality | Clinical Neuropsychologist |
Location | 3104 Blackiston Blvd, New Albany, Indiana |
Authorized Official Name and Position | Randy Napier (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8129416106 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southern Indiana Rehabilitation Hospital Neuropsych Group Po Box 2587 Louisville KY 40201-2587 Ph: () - | Southern Indiana Rehabilitation Hospital Neuropsych Group 3104 Blackiston Blvd New Albany IN 47150-9579 Ph: (812) 941-8300 |
NPI Number | 1588877617 |
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Provider Enumeration Date | 05/07/2007 |
Last Update Date | 07/01/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588877617 | NPI | - | NPPES |
200350290 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | 006205 (Indiana) | Primary |
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