Ingenium Neuropsychology LLC
Clinical Neuropsychologist in Ridgewood, NJ. Organization (NPI-2).
NPI number1982143913
StatusActive
Last updated in NPPESFeb 25, 2017
Details
- NPI
- 1982143913
- Entity type
- Organization (NPI-2)
- Legal business name
- Ingenium Neuropsychology LLC
- Organization subpart
- No
- Enumeration date
- Feb 23, 2017
- Last updated
- Feb 25, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 35SI00498300 | NJ | Yes |
Practice location
51 Chestnut StSuite 4
Ridgewood, NJ 07450-3873
Phone 617-895-8970
Mailing address
51 Chestnut StSuite 4
Ridgewood, NJ 07450-3873
Phone 617-895-8970
Authorized official
Joanna Marie Salmon
Clinical Neuropsychologist
6178958970
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