Provider Demographics
NPI:1982970851
Name:HUNDAL NEUROPSYCHOLOGY GROUP, LLC
Entity Type:Organization
Organization Name:HUNDAL NEUROPSYCHOLOGY GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JASDEEP
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:HUNDAL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:646-926-4879
Mailing Address - Street 1:9105 SUMMIT WAY
Mailing Address - Street 2:
Mailing Address - City:WATCHUNG
Mailing Address - State:NJ
Mailing Address - Zip Code:07069-7401
Mailing Address - Country:US
Mailing Address - Phone:732-395-7081
Mailing Address - Fax:
Practice Address - Street 1:2060 OAK TREE RD
Practice Address - Street 2:3RD FLOOR
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-2058
Practice Address - Country:US
Practice Address - Phone:732-395-7081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-26
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY68-019245103G00000X, 103TR0400X
NJ35SI00506700103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitationGroup - Multi-Specialty