Provider Demographics
NPI:1851647739
Name:NEUROPSYCHOLOGICAL ASSOCIATES LLC
Entity Type:Organization
Organization Name:NEUROPSYCHOLOGICAL ASSOCIATES LLC
Other - Org Name:NEUROPSYCHOLOGICAL ASSOCIATES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PSYCHOLOGIST - NEUROPSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HYMAN
Authorized Official - Middle Name:HIRSCH
Authorized Official - Last Name:EISENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:305-532-1945
Mailing Address - Street 1:300 71ST ST
Mailing Address - Street 2:SUITE 612
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-3038
Mailing Address - Country:US
Mailing Address - Phone:305-532-1945
Mailing Address - Fax:305-532-6263
Practice Address - Street 1:300 71ST ST
Practice Address - Street 2:SUITE 612
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-3038
Practice Address - Country:US
Practice Address - Phone:305-532-1945
Practice Address - Fax:305-532-6263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0003548261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health