Provider Demographics
NPI:1265024814
Name:NEUROPSYCHOLOGICAL EVALUATION AND CONSULTATION SERVICES, LLC
Entity Type:Organization
Organization Name:NEUROPSYCHOLOGICAL EVALUATION AND CONSULTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROPSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ERNST
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:215-262-0741
Mailing Address - Street 1:PO BOX 466
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-0466
Mailing Address - Country:US
Mailing Address - Phone:215-262-0741
Mailing Address - Fax:
Practice Address - Street 1:4 PARAGON WAY STE 350
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-7946
Practice Address - Country:US
Practice Address - Phone:215-262-0741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-05
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)