Midwest Neuropsychology, Pllc

LBN: Midwest Neuropsychology, Pllc
Midwest Neuropsychology, Pllc is an health care organization with primary practice located at 3301 30Th Ave S Ste 101 , Grand Forks ND 58201-6009. 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. Midwest Neuropsychology, Pllc can be contacted via phone (701) 780-9700, or through Thompson, Susan J via phone (701) 780-9700.

Contact Information

Primary practice address
3301 30Th Ave S Ste 101 Grand Forks ND 58201-6009
Phone: (701) 780-9700
Fax: (701) 780-9709
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Susan J PH.D.
Phone: (701) 780-9700

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X

Profile Details

NPI number 1699078626
LBN Legal business name Midwest Neuropsychology, Pllc
DBA Doing business as
Authorized official Thompson, Susan J PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2010
Last updated Apr 18th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699078626 NPPES
North Dakota Other N715763 MEDICARE PART B
North Dakota MEDICAID 000015495 MEDICARE PART B

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