National Provider Identifier Database

LIFESPAN NEUROPSYCHOLOGY AND COUNSELING CENTER 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

LIFESPAN NEUROPSYCHOLOGY AND COUNSELING CENTER, LLC
2060 OAK TREE RD
3RD FLOOR
EDISON, NJ08820
Phone: 908-472-1255
Fax: 848-200-7713
Website:
Specialty Taxonomy Code
* Clinical Neuropsychologist 103G00000X

* Indicates primary specialty

NPI Profile & details for LIFESPAN NEUROPSYCHOLOGY AND COUNSELING CENTER, LLC

NPI Number 1689181638
Legal business name
LBN
LIFESPAN NEUROPSYCHOLOGY AND COUNSELING CENTER, LLC
Authorized official GEORGIANNA DART - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/29/2017
Last updated 11/27/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 4987

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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