Taxonomy Code 103G00000X(103g00000x)
Clinical Neuropsychologist. Providers: 3

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Clinical Neuropsychologist Providers

NPI Name Type Address

1033203054

PH.D. Marisa Mares

Individual

461 W 6th St

Suite 204

San Pedro, CA

1891030391

Kathryn Cummins

Individual

2403 S Moray Ave

San Pedro, CA

1962783951

Pacifica Neuropsychology Center

Organization

461 W 6th St, Suite 211

San Pedro, CA

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 103G00000X
Display Name Clinical Neuropsychologist
Taxonomy Group Behavioral Health & Social Service Providers
Taxonomy Classification Clinical Neuropsychologist
Definition A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Effective Date September 30, 2009
Modification Date September 30, 2009
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Clinical Neuropsychologist Codes

Deactivated - Clinical Neuropsychologist

103GC0700X • providers: 0