National Provider Identifier Database

LIFESTAGES FAMILY NEUROHEALTH LLC
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

LIFESTAGES FAMILY NEUROHEALTH LLC
40 S RIVER RD UNIT 33
BEDFORD, NH03110-6721
Phone: 603-614-6016
Fax:
Website:
Specialty Taxonomy Code
* Clinical Neuropsychologist 103G00000X
Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for LIFESTAGES FAMILY NEUROHEALTH LLC

NPI Number 1447885777
Legal business name
LBN
LIFESTAGES FAMILY NEUROHEALTH LLC
Authorized official JAMIE TIMMINS - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 03/06/2020
Last updated 03/06/2020 - About 6 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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