| West End Neuropsychology, Llc | |
|
2800 N Parham Rd Ste 107 Richmond VA 23294-4409 | |
| (804) 205-7452 | |
| (888) 757-4016 |
| Full Name | West End Neuropsychology, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2800 N Parham Rd Ste 107, Richmond, Virginia |
| Authorized Official Name and Position | Jennifer Lumpkin (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8042057452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West End Neuropsychology, Llc 9810 St Pages Ln Richmond VA 23233-1426 Ph: (804) 205-7452 | West End Neuropsychology, Llc 2800 N Parham Rd Ste 107 Richmond VA 23294-4409 Ph: (804) 205-7452 |
| NPI Number | 1679087167 |
|---|---|
| Provider Enumeration Date | 11/21/2017 |
| Last Update Date | 11/21/2017 |
| Medicare PECOS PAC ID | 0345508974 |
|---|---|
| Medicare Enrollment ID | O20180103000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679087167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 0810003758 (Virginia) | Primary |
| Provider Name | Jennifer Cm Lumpkin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932253663 PECOS PAC ID: 6800991340 Enrollment ID: I20070412000112 |
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