Provider Demographics
NPI:1669238044
Name:EC NEUROPSYCHOLOGICAL HEALTH PC
Entity type:Organization
Organization Name:EC NEUROPSYCHOLOGICAL HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:WING MAN ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:619-874-2625
Mailing Address - Street 1:3645 HAVEN AVE APT 4201
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-1085
Mailing Address - Country:US
Mailing Address - Phone:619-874-2625
Mailing Address - Fax:
Practice Address - Street 1:3645 HAVEN AVE APT 4201
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-1085
Practice Address - Country:US
Practice Address - Phone:619-874-2625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-23
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty