=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073424198
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEUROPSYCHOLOGICAL FOUNDATIONS PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/16/2026
-----------------------------------------------------
Last Update Date | 09/16/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2975 W EXECUTIVE PKWY STE 274
-----------------------------------------------------
City | LEHI
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84048-9642
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-787-9972
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2975 W EXECUTIVE PARKWAY #156
-----------------------------------------------------
City | LEHI
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84048
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-787-9972
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINICAL NEUROPSYCHOLOGIST
-----------------------------------------------------
Name | SPENCER LOONG
-----------------------------------------------------
Credential | PH.D.
-----------------------------------------------------
Telephone | 801-787-9972
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103G00000X
-----------------------------------------------------
Taxonomy Name | Clinical Neuropsychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------