Healthcare Provider Details
I. General information
NPI: 1205119369
Provider Name (Legal Business Name): THE CENTER FOR NEUROPSYCHOLOGY & COUNSELING, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/26/2011
Last Update Date: 03/01/2023
Certification Date: 03/01/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 HIGHPOINT DR STE 215
CHALFONT PA
18914-3925
US
IV. Provider business mailing address
200 HIGHPOINT DR STE 215
CHALFONT PA
18914-3925
US
V. Phone/Fax
- Phone: 215-491-1119
- Fax: 215-491-9119
- Phone: 215-491-1119
- Fax: 215-491-9119
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103G00000X |
| Taxonomy | Clinical Neuropsychologist |
| License Number | PS008865L |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
J.
STONE
Title or Position: PRESIDENT
Credential: PSY.D.
Phone: 215-491-1119