Peak Performance Neurofeedback, Llc

NPI 1275913436 - Clinic/Center - 261QM0850X

NPI Details
NPI 1275913436
Enumeration Date 06/03/2015
Last Updated 12/02/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name BETH B BETH
Position PSYCHOLOGIST/CLINICAL DIRECTOR
Phone (619) 540-3235
Fax
Practice Location
13800 COPPERMINE RD
SUITE 105
HERNDON VA, 20171-6163, US
Phone (619) 540-3235
Fax
Business Location
13800 COPPERMINE RD
SUITE 105
HERNDON VA, 20171-6163, US
Phone (619) 540-3235
Fax
Toxanomy
Taxonomy Code 261QM0850X
License State Virginia
License Number 0810004027
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According to our database, Peak Performance Neurofeedback, Llc NPI is 1275913436, taxonomy code is 261QM0850X and license number is 0810004027, license state is located at Virginia. Peak Performance Neurofeedback, Llc physically located at 13800 Coppermine Rd, Herndon VA, 20171-6163. NPI Number 1033115704 has the healthcare provider type.

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1275913436 NPI number is provided on an as is basis without warranty of any kind. 1275913436 is maintained by the National Plan & Provider Enumeration System. The contents of Peak Performance Neurofeedback, Llc are for informational purposes only.