Healthcare Provider Details

I. General information

NPI: 1346155140
Provider Name (Legal Business Name): BUCHANAN NEUROPSYCHOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 JUSTIN RD
ROCKWALL TX
75087-4840
US

IV. Provider business mailing address

777 JUSTIN RD
ROCKWALL TX
75087-4840
US

V. Phone/Fax

Practice location:
  • Phone: 469-668-8228
  • Fax:
Mailing address:
  • Phone: 469-668-8228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. BRANDI BUCHANAN
Title or Position: OWNER/NEUROPSYCHOLOGIST
Credential: PHD
Phone: 469-668-8228