Provider Demographics
NPI:1710669361
Name:CAPE NEUROPSYCHOLOGY LLC
Entity Type:Organization
Organization Name:CAPE NEUROPSYCHOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:EOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:551-258-3605
Mailing Address - Street 1:23 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC HIGHLANDS
Mailing Address - State:NJ
Mailing Address - Zip Code:07716-1347
Mailing Address - Country:US
Mailing Address - Phone:858-204-1717
Mailing Address - Fax:973-799-9283
Practice Address - Street 1:23 GRAND AVE
Practice Address - Street 2:
Practice Address - City:ATLANTIC HIGHLANDS
Practice Address - State:NJ
Practice Address - Zip Code:07716-1347
Practice Address - Country:US
Practice Address - Phone:858-204-1717
Practice Address - Fax:973-799-9283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-03
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty