Healthcare Provider Details

I. General information

NPI: 1659880854
Provider Name (Legal Business Name): CLARITY NEUROPSYCHOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2017
Last Update Date: 05/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5583 DAVIS BLVD STE 200
NORTH RICHLAND HILLS TX
76180-6493
US

IV. Provider business mailing address

PO BOX 1729
COLLEYVILLE TX
76034-1729
US

V. Phone/Fax

Practice location:
  • Phone: 888-476-0226
  • Fax: 888-505-3818
Mailing address:
  • Phone: 888-476-0226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARK ALAN RITCHIE
Title or Position: OWNER
Credential:
Phone: 888-476-0226