MEDICARE: NEUROPSYCHOLOGY SERVICES (NPS), INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103G00000X	Clinical Neuropsychologist

General Provider Information

NPI Number	:	1689139818
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROPSYCHOLOGY SERVICES (NPS), INC.

Provider Business Mailing Address
First Line	:	14100 TUCKER AVE
Second Line	:
City	:	SYLMAR
State	:	CA
Zip	:	91342-1932
Country	:	US
Telephone Number	:	213-446-0765
Fax Number	:

Provider Business Practice Location Address
First Line	:	1812 W BURBANK BLVD
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91506-1315
Country	:	US
Telephone Number	:	213-446-0765
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CLINICAL NEUROPSYCHOLOGST
Name	:	DR. MATT S GEE
Credential	:	PHD
Telephone Number	:	213-446-0765

Provider Enumeration Date	:	02/01/2019
Last Update Date	:	02/01/2019

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