Healthcare Provider Details

I. General information

NPI: 1881598548
Provider Name (Legal Business Name): NEUROCOGNITIVE HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 WEST ST
MILFORD MA
01757-1257
US

IV. Provider business mailing address

327 WEST ST
MILFORD MA
01757-1257
US

V. Phone/Fax

Practice location:
  • Phone: 508-251-9390
  • Fax:
Mailing address:
  • Phone: 508-251-9390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. KATRINA ISABEL TEJADA DAYAW
Title or Position: CLINICAL NEUROPSYCHOLOGIST
Credential: PSY.D.
Phone: 508-251-9390