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Contact Information

NEUROPSYCHOLOGICAL TESTING AND COUNSELING
102 GUNN RD
CENTERVILLE, GA31028
 Phone: 478-953-0088
 Fax: 478-953-0093
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for NEUROPSYCHOLOGICAL TESTING AND COUNSELING

NPI Number 1013147743
LBN Legal business name NEUROPSYCHOLOGICAL TESTING AND COUNSELING
Authorized official ELIZABETH SOETY - (CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2009
Last updated 07/11/2018 - About 8 years ago
Identifiers
GA License # 2815
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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