Provider Demographics
NPI:1932379435
Name:FUNCTIONAL NEUROLOGY ASSOCIATES, INC
Entity Type:Organization
Organization Name:FUNCTIONAL NEUROLOGY ASSOCIATES, INC
Other - Org Name:LAUREN CAFFERY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAFFERY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:267-354-1734
Mailing Address - Street 1:1000 E WALNUT ST
Mailing Address - Street 2:SUITE 502
Mailing Address - City:PERKASIE
Mailing Address - State:PA
Mailing Address - Zip Code:18944-5444
Mailing Address - Country:US
Mailing Address - Phone:267-354-1734
Mailing Address - Fax:215-257-3320
Practice Address - Street 1:1000 E WALNUT ST
Practice Address - Street 2:SUITE 502
Practice Address - City:PERKASIE
Practice Address - State:PA
Practice Address - Zip Code:18944-5444
Practice Address - Country:US
Practice Address - Phone:267-354-1734
Practice Address - Fax:215-257-3320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-11
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009807111N00000X
PADC009820111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty