| The Neuropsychology Consultants, Pa | |
|
3824 Barrett Dr Suite 101 Raleigh NC 27609-7220 | |
| (919) 785-9944 | |
| (919) 785-9992 |
| Full Name | The Neuropsychology Consultants, Pa |
|---|---|
| Speciality | Psychologist |
| Location | 3824 Barrett Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Elwood Johnson Burgess (PRESIDENT) |
| Authorized Official Contact | 9197859944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Neuropsychology Consultants, Pa 3824 Barrett Dr Suite 101 Raleigh NC 27609-7220 Ph: (919) 785-9944 | The Neuropsychology Consultants, Pa 3824 Barrett Dr Suite 101 Raleigh NC 27609-7220 Ph: (919) 785-9944 |
| NPI Number | 1518158757 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 09/10/2013 |
| Medicare PECOS PAC ID | 8921182569 |
|---|---|
| Medicare Enrollment ID | O20080221000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518158757 | NPI | - | NPPES |
| 027YM | Other | NC | BCBS |
| 6005171 | Medicaid | NC |
| Provider Name | Elwood J Burgess |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265644637 PECOS PAC ID: 9931283579 Enrollment ID: I20080221000150 |
| Provider Name | Michelle Elena Stack |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952671950 PECOS PAC ID: 6406007962 Enrollment ID: I20150324002419 |
| Provider Name | Lisa Mary Fox |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255624797 PECOS PAC ID: 9931173622 Enrollment ID: I20160318001612 |
| Provider Name | Laura Ann Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831609791 PECOS PAC ID: 7810254489 Enrollment ID: I20171207000002 |
| Provider Name | Amanda J Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083080089 PECOS PAC ID: 6406250026 Enrollment ID: I20210804002005 |
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