Healthcare Provider Details

I. General information

NPI: 1275454597
Provider Name (Legal Business Name): PRECISION NEUROPSYCHOLOGY SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3538 ROUTE 309 UNIT 1
OREFIELD PA
18069-2074
US

IV. Provider business mailing address

3538 ROUTE 309 UNIT 1
OREFIELD PA
18069-2074
US

V. Phone/Fax

Practice location:
  • Phone: 484-238-0440
  • Fax:
Mailing address:
  • Phone: 484-238-0440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. KATHLEEN NOELLE CHILDS
Title or Position: NEUROPSYCHOLOGIST
Credential: PSYD
Phone: 484-238-0440