| Summit Neuropsychology, Pllc | |
|
9645 Gateway Dr Suite B Reno NV 89521-4190 | |
| (775) 525-1347 | |
| (775) 201-9457 |
| Full Name | Summit Neuropsychology, Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 9645 Gateway Dr, Reno, Nevada |
| Authorized Official Name and Position | Alex Cramond (OWNER) |
| Authorized Official Contact | 7755251347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Neuropsychology, Pllc 9645 Gateway Dr Suite B Reno NV 89521-4190 Ph: (775) 525-1347 | Summit Neuropsychology, Pllc 9645 Gateway Dr Suite B Reno NV 89521-4190 Ph: (775) 525-1347 |
| NPI Number | 1073907739 |
|---|---|
| Provider Enumeration Date | 03/20/2015 |
| Last Update Date | 01/29/2016 |
| Medicare PECOS PAC ID | 2961719059 |
|---|---|
| Medicare Enrollment ID | O20150922002995 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073907739 | NPI | - | NPPES |
| V111634 | Other | NV | MEDICARE PTAN |
| V111633 | Other | NV | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY0723 (Nevada) | Primary |
| Provider Name | Alexander John Cramond |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285039511 PECOS PAC ID: 3870800964 Enrollment ID: I20150922003144 |
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