Provider Demographics
NPI:1851724652
Name:NEUROPSYCHOLOGY CONSULTANTS, PLLC
Entity Type:Organization
Organization Name:NEUROPSYCHOLOGY CONSULTANTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:S
Authorized Official - Last Name:WALKERR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:615-329-2408
Mailing Address - Street 1:4219 HILLSBORO PIKE STE 306
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-3332
Mailing Address - Country:US
Mailing Address - Phone:615-329-2408
Mailing Address - Fax:
Practice Address - Street 1:4219 HILLSBORO PIKE STE 306
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-3332
Practice Address - Country:US
Practice Address - Phone:615-329-2408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP001748103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I683580Medicare PIN