Healthcare Provider Details

I. General information

NPI: 1841016391
Provider Name (Legal Business Name): CORTEX CARE NEUROPSYCHOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2024
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4435 E CHANDLER BLVD
PHOENIX AZ
85048-7649
US

IV. Provider business mailing address

PO BOX 93092
PHOENIX AZ
85070-3092
US

V. Phone/Fax

Practice location:
  • Phone: 602-551-6044
  • Fax: 480-542-2204
Mailing address:
  • Phone: 903-570-3069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: PELIN STREBLER
Title or Position: MEMBER/MANAGER
Credential: PHD
Phone: 602-551-6044