Center For Pediatric Neuroscience, Pllc
LBN: Center For Pediatric Neuroscience, Pllc
Center For Pediatric Neuroscience, Pllc is an health care organization with primary practice located at 2808 Fox Meadow Ln , Jonesboro AR 72404-9346. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as the primary health care specialty.
Center For Pediatric Neuroscience, Pllc can be contacted via phone (870) 932-4245, or through Caspall, Job D via phone (901) 603-9936.
Contact Information
Primary practice address
2808 Fox Meadow Ln
Jonesboro AR 72404-9346
Phone: (870) 932-4245
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 11-16P | Arkansas |
Profile Details
| NPI number | 1174826499 |
|---|---|
| LBN Legal business name | Center For Pediatric Neuroscience, Pllc |
| DBA Doing business as | |
| Authorized official | Caspall, Job D M.B.A. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 8th, 2010 |
| Last updated | Jul 10th, 2012 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174826499 | NPPES |
| Tennessee | MEDICAID | 3583920 | |
| Tennessee | Other | 4302608 | |
| Tennessee | MEDICAID | 00118484 | |
| Tennessee | MEDICAID | 189059744 |
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