NPI 1124527841
Clinical & Forensic Neuropsychology Services LLC
Practice location
- Address
- 357 Towne Center Blvd STE 403, Ridgeland, MS 39157-4844
- Phone
- (601) 869-5898
- Fax
- (601) 589-0825
- Mailing address
- PO Box 2427, Madison, MS 39130-2427
Authorised official
- Name
- Brian Heath Gordon
- Title
- Manager
- Phone
- (601) 869-5898
Registered specialties
Clinical Neuropsychologist
Primary
Registry record
- NPI
- 1124527841
- Entity type
- Organization
- NPI issued
- 8 Feb 2018
- Record last updated
- 8 Feb 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.