Provider Demographics
NPI:1881231116
Name:CENTER FOR REHABILITATION PSYCHOLOGY AND NEUROPSYCHOLOGY, PC
Entity Type:Organization
Organization Name:CENTER FOR REHABILITATION PSYCHOLOGY AND NEUROPSYCHOLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL NEUROPSYCHOLOGIST/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:STRUCHEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:281-546-4302
Mailing Address - Street 1:1922 TICE VALLEY BLVD UNIT 2817
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94595-5043
Mailing Address - Country:US
Mailing Address - Phone:281-546-4302
Mailing Address - Fax:
Practice Address - Street 1:251 KING DR
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94595-1516
Practice Address - Country:US
Practice Address - Phone:281-546-4302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitationGroup - Multi-Specialty