National Provider Identifier Database

CORPORATE INDUSTRY MEDICAL GROUP
Clinical Neuropsychologist

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.


Contact Information

CORPORATE-INDUSTRY MEDICAL GROUP
4425 W AIRPORT FWY
SUITE 305
IRVING, TX75062-5832
Phone: 972-570-8200
Fax: 972-570-8933
Website:
Specialty Taxonomy Code
* Clinical Neuropsychologist 103G00000X
Pain Medicine 208VP0000X
Physical Medicine & Rehabilitation 208100000X
Preventive Medicine/Occupational-Environmental Medicine 2083P0500X

* Indicates primary specialty

NPI Profile & details for CORPORATE-INDUSTRY MEDICAL GROUP

NPI Number 1174731517
Legal business name
LBN
CORPORATE-INDUSTRY MEDICAL GROUP
Authorized official GEORGE HEATH - (CEO)
Entity Organization
Organization subpart No
Enumeration date 05/18/2007
Last updated 04/25/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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