Provider Demographics
NPI:1689139818
Name:NEUROPSYCHOLOGY SERVICES (NPS), INC.
Entity Type:Organization
Organization Name:NEUROPSYCHOLOGY SERVICES (NPS), INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CLINICAL NEUROPSYCHOLOGST
Authorized Official - Prefix:DR
Authorized Official - First Name:MATT
Authorized Official - Middle Name:S
Authorized Official - Last Name:GEE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:213-446-0765
Mailing Address - Street 1:14100 TUCKER AVE
Mailing Address - Street 2:
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-1932
Mailing Address - Country:US
Mailing Address - Phone:213-446-0765
Mailing Address - Fax:
Practice Address - Street 1:1812 W BURBANK BLVD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-1315
Practice Address - Country:US
Practice Address - Phone:213-446-0765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-01
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty