Healthcare Provider Details

I. General information

NPI: 1831946094
Provider Name (Legal Business Name): NEURODIDACTICA CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2024
Last Update Date: 05/03/2024
Certification Date: 05/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3711 CLAVEL ST APT 8
PALMVIEW TX
78572-8109
US

IV. Provider business mailing address

3711 CLAVEL ST APT 8
PALMVIEW TX
78572-8109
US

V. Phone/Fax

Practice location:
  • Phone: 956-579-1149
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MONICA IVETTE GALINDO
Title or Position: FOUNDER
Credential: PHD
Phone: 956-579-1149