Provider Demographics
NPI:1821322447
Name:NEURO CONNECTIONS INC
Entity Type:Organization
Organization Name:NEURO CONNECTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BECHER
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:561-736-5178
Mailing Address - Street 1:11419 MILLPOND GREENS DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33473-7803
Mailing Address - Country:US
Mailing Address - Phone:561-736-5178
Mailing Address - Fax:561-736-5178
Practice Address - Street 1:717 PONCE DE LEON BLVD
Practice Address - Street 2:SUITE 327
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2060
Practice Address - Country:US
Practice Address - Phone:305-445-5994
Practice Address - Fax:305-445-5999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7318103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty