Provider Demographics
NPI:1326169277
Name:THE CENTER FOR NEUROPSYCHOLOGY & LEARNING DISORDERS INC
Entity Type:Organization
Organization Name:THE CENTER FOR NEUROPSYCHOLOGY & LEARNING DISORDERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMIN CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:FITZMAURICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-789-7848
Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02880
Mailing Address - Country:US
Mailing Address - Phone:401-789-7848
Mailing Address - Fax:
Practice Address - Street 1:512 MAIN ST
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879
Practice Address - Country:US
Practice Address - Phone:401-789-7848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty