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NPI 1760688873

NPI 1760688873 : NEUROPSYCHOLOGY ASSOCIATES P C : PRESCOTT, AZ

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General NPI Number Information
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    NPI Number           |    1760688873
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEUROPSYCHOLOGY ASSOCIATES P C 
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Dates
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    Enumeration Date     |    06/25/2007
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    Last Update Date     |    10/31/2025
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Provider Practice Location Address
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    Address Line         |    141 S MCCORMICK ST STE 109 
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    City                 |    PRESCOTT
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    State                |    AZ
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    Zip                  |    86303-4730
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    Country              |    US
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    Telephone            |    928-777-2477
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    Fax                  |    928-777-8020
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Provider Business Mailing Address
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    Address Line         |    141 S MCCORMICK ST STE 109 
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    City                 |    PRESCOTT
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    State                |    AZ
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    Zip                  |    86303-4730
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    Country              |    US
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    Telephone            |    928-777-2477
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    Fax                  |    928-777-8020
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |    MS. MCCARTHY  HALLOWELL 
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    Credential           |    
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    Telephone            |    928-777-2477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103G00000X
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    Taxonomy Name        |    Clinical Neuropsychologist
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    License Number       |    0689
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    License Number State |    AZ
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