Provider Demographics
NPI:1376799387
Name:BRAIN POWER NEURO PSYCHOLOGICAL LEARNING CENTER
Entity Type:Organization
Organization Name:BRAIN POWER NEURO PSYCHOLOGICAL LEARNING CENTER
Other - Org Name:BRAIN POWER LEARNING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN. AND CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHUYLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:559-227-2345
Mailing Address - Street 1:1130 E SHAW AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-7838
Mailing Address - Country:US
Mailing Address - Phone:559-227-2345
Mailing Address - Fax:559-227-2698
Practice Address - Street 1:1130 E SHAW AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-7838
Practice Address - Country:US
Practice Address - Phone:559-227-2345
Practice Address - Fax:559-227-2698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-09
Last Update Date:2008-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation