| The Center For Pediatric Neuropsychology, Llc | |
|
500 Village Square Xing Suite 103 Palm Beach Gardens FL 33410-4548 | |
| (561) 688-9795 | |
| (561) 688-9796 |
| Full Name | The Center For Pediatric Neuropsychology, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 500 Village Square Xing, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Jill Kelderman (PEDIATRIC NEUROPSYCHOLOGIST/PRESIDE) |
| Authorized Official Contact | 5616889795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Pediatric Neuropsychology, Llc 500 Village Square Xing Suite 103 Palm Beach Gardens FL 33410-4548 Ph: (561) 688-9795 | The Center For Pediatric Neuropsychology, Llc 500 Village Square Xing Suite 103 Palm Beach Gardens FL 33410-4548 Ph: (561) 688-9795 |
| NPI Number | 1669700167 |
|---|---|
| Provider Enumeration Date | 11/23/2009 |
| Last Update Date | 11/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669700167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY7965 (Florida) | Primary |
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