| Center For Neurocognitive Assessment And Rehabilitation, Pc | |
|
512 Riverside Pkwy Ne Ste 300 Rome GA 30161-2939 | |
| (404) 291-4447 | |
| Not Available |
| Full Name | Center For Neurocognitive Assessment And Rehabilitation, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 512 Riverside Pkwy Ne Ste 300, Rome, Georgia |
| Authorized Official Name and Position | Nicole Claudine Styperek (PRESIDENT) |
| Authorized Official Contact | 4042914447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Neurocognitive Assessment And Rehabilitation, Pc 305 Clark Dr Se Rome GA 30161-6035 Ph: (404) 291-4447 | Center For Neurocognitive Assessment And Rehabilitation, Pc 512 Riverside Pkwy Ne Ste 300 Rome GA 30161-2939 Ph: (404) 291-4447 |
| NPI Number | 1164783270 |
|---|---|
| Provider Enumeration Date | 06/05/2012 |
| Last Update Date | 06/05/2012 |
| Medicare PECOS PAC ID | 1951566751 |
|---|---|
| Medicare Enrollment ID | O20120628000640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164783270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | PSY003542 (Georgia) | Primary |
| Provider Name | Nicole Claudine Christian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942561147 PECOS PAC ID: 2860657665 Enrollment ID: I20120628000663 |
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