Center For Cognitive Rehabilitation

NPI 1003957879 - Clinical Neuropsychologist - 103G00000X

NPI Details
NPI 1003957879
Enumeration Date 02/12/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PAGE G. PAGE
Position OFFICE MANAGER
Phone (404) 321-1441
Fax (404) 321-5876
Practice Location
1276 MCCONNELL DR
SUITE C
DECATUR GA, 30033-3506, US
Phone (404) 321-1441
Fax (404) 321-5876
Business Location
1276 MCCONNELL DR
SUITE C
DECATUR GA, 30033-3506, US
Phone (404) 321-1441
Fax (404) 321-5876
Toxanomy
Taxonomy Code 103G00000X
License State Georgia
License Number PSY000615
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According to our database, Center For Cognitive Rehabilitation NPI is 1003957879, taxonomy code is 103G00000X and license number is PSY000615, license state is located at Georgia. Center For Cognitive Rehabilitation physically located at 1276 Mcconnell Dr, Decatur GA, 30033-3506. NPI Number 1033115704 has the healthcare provider type.

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1003957879 NPI number is provided on an as is basis without warranty of any kind. 1003957879 is maintained by the National Plan & Provider Enumeration System. The contents of Center For Cognitive Rehabilitation are for informational purposes only.