Provider Demographics
NPI:1518131572
Name:HUDSON NEUROPSYCHOLOGY CONSULTANTS LLC
Entity Type:Organization
Organization Name:HUDSON NEUROPSYCHOLOGY CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROPSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:402-253-7870
Mailing Address - Street 1:10791 S 72ND ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-3402
Mailing Address - Country:US
Mailing Address - Phone:402-253-7870
Mailing Address - Fax:
Practice Address - Street 1:10791 S 72ND ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-3402
Practice Address - Country:US
Practice Address - Phone:402-253-7870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-21
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE533103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty