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Organization

NEUROPSYCHOLOGY ASSOCIATES PC

Active
Parent organization
NEUROPSYCHOLOGY ASSOCIATES PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
NEUROPSYCHOLOGY ASSOCIATES PC
Authorized official
DR. HAROLD DANIEL BLACKWOOD PHD (PRESICENT)
60223083224
Entity
Organization

Contact information

Practice address
141 S MCCORMICK ST, SUITE 109, PRESCOTT, AZ 86303-4729
(928) 777-2477
(602) 274-7402
Mailing address
6232 N 7TH ST, SUITE 100, PHOENIX, AZ 85014-1839
(602) 230-8324
(602) 274-7402

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
689
AZ

Other

Enumeration date
02/02/2010
Last updated
02/02/2010
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