Center For Neurocognitive Assessment And Rehabilitation, Pc

NPI 1164783270 - Clinic/Center - 261Q00000X

NPI Details
NPI 1164783270
Enumeration Date 06/05/2012
Last Updated 06/05/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name NICOLE CLAUDINE NICOLE
Position PRESIDENT
Phone (404) 291-4447
Fax
Practice Location
512 RIVERSIDE PKWY NE STE 300
ROME GA, 30161-2939, US
Phone (404) 291-4447
Fax
Business Location
305 CLARK DR SE
ROME GA, 30161-6035, US
Phone (404) 291-4447
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Georgia
License Number PSY003542
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According to our database, Center For Neurocognitive Assessment And Rehabilitation, Pc NPI is 1164783270, taxonomy code is 261Q00000X and license number is PSY003542, license state is located at Georgia. Center For Neurocognitive Assessment And Rehabilitation, Pc physically located at 512 Riverside Pkwy Ne Ste 300, Rome GA, 30161-2939. NPI Number 1033115704 has the healthcare provider type.

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1164783270 NPI number is provided on an as is basis without warranty of any kind. 1164783270 is maintained by the National Plan & Provider Enumeration System. The contents of Center For Neurocognitive Assessment And Rehabilitation, Pc are for informational purposes only.