| The Neuropsychology Center, Llc | |
|
6000 Shakerag Hl Suite 216 Peachtree City GA 30269-6523 | |
| (770) 632-1088 | |
| (770) 632-2088 |
| Full Name | The Neuropsychology Center, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 6000 Shakerag Hl, Peachtree City, Georgia |
| Authorized Official Name and Position | Alfonso Martinez (OWNER / NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 7706321088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Neuropsychology Center, Llc 6000 Shakerag Hl Suite 216 Peachtree City GA 30269-6523 Ph: (770) 632-1088 | The Neuropsychology Center, Llc 6000 Shakerag Hl Suite 216 Peachtree City GA 30269-6523 Ph: (770) 632-1088 |
| NPI Number | 1568644995 |
|---|---|
| Provider Enumeration Date | 11/27/2007 |
| Last Update Date | 11/28/2007 |
| Medicare PECOS PAC ID | 1951487941 |
|---|---|
| Medicare Enrollment ID | O20080401000357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568644995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY3117 (Georgia) | Primary |
| Provider Name | Alfonso Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316920952 PECOS PAC ID: 8022113687 Enrollment ID: I20080401000345 |
| Provider Name | Margaret W Mcbrayer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295008621 PECOS PAC ID: 2860631090 Enrollment ID: I20130620000129 |
| Provider Name | Vanessa Jessie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841920402 PECOS PAC ID: 3274986518 Enrollment ID: I20240202000236 |
| Provider Name | Joni Christina Herron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447548565 PECOS PAC ID: 8921441148 Enrollment ID: I20240205002791 |
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