Provider Demographics
NPI:1639423817
Name:PIEDMONT NEUROPSYCHOLOGY & COUNSELING PLC
Entity Type:Organization
Organization Name:PIEDMONT NEUROPSYCHOLOGY & COUNSELING PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:LEAH
Authorized Official - Last Name:NEWBY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:540-905-9135
Mailing Address - Street 1:419 HOLIDAY CT
Mailing Address - Street 2:STE. 30
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-4365
Mailing Address - Country:US
Mailing Address - Phone:540-905-9135
Mailing Address - Fax:
Practice Address - Street 1:419 HOLIDAY CT
Practice Address - Street 2:STE. 30
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-4365
Practice Address - Country:US
Practice Address - Phone:540-905-9135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-09
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty