Provider Demographics
NPI:1669683777
Name:NEUROPSYCHOLOGICAL SERVICES AT CLEAR VISION LLC
Entity Type:Organization
Organization Name:NEUROPSYCHOLOGICAL SERVICES AT CLEAR VISION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:DOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-322-6123
Mailing Address - Street 1:1335 LOSE AVE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-2708
Mailing Address - Country:US
Mailing Address - Phone:570-322-6123
Mailing Address - Fax:570-322-6125
Practice Address - Street 1:1335 LOSE AVE
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-2708
Practice Address - Country:US
Practice Address - Phone:570-322-6123
Practice Address - Fax:570-322-6125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health