Provider Demographics
NPI:1821835596
Name:NEUROWEST NEUROPSYCHOLOGY LLC
Entity type:Organization
Organization Name:NEUROWEST NEUROPSYCHOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL NEUROPSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNATT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:907-250-7380
Mailing Address - Street 1:12800 VON SCHEBEN DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99516-3206
Mailing Address - Country:US
Mailing Address - Phone:907-250-7380
Mailing Address - Fax:
Practice Address - Street 1:4001 LAKE OTIS PKWY STE 201
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5200
Practice Address - Country:US
Practice Address - Phone:907-615-3477
Practice Address - Fax:907-615-3478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-10
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty