Unknown Individual – Clinical Neuropsychologist, NPI 1477552743
Clinical Neuropsychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1555, Port Malabar Boulevard Northeast, Country Club Vista, Palm Bay, Brevard County, Florida, 32905, United States
SUITE 104
PALM BAY, FL 329055407
Phone: (321) 729-0870
Fax: (321) 952-2516
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32905)
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