Provider Demographics
NPI:1942208814
Name:NEUROPSYCHOLOGY CONSULTANTS, LLC
Entity Type:Organization
Organization Name:NEUROPSYCHOLOGY CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:PHILLIP
Authorized Official - Last Name:TEPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:203-855-9691
Mailing Address - Street 1:195 DANBURY RD STE 230
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-4075
Mailing Address - Country:US
Mailing Address - Phone:203-855-9691
Mailing Address - Fax:203-855-7743
Practice Address - Street 1:195 DANBURY RD STE 230
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-4075
Practice Address - Country:US
Practice Address - Phone:203-855-9691
Practice Address - Fax:203-855-7743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002279103G00000X
CT0014101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty