Organization
NEURODYNAMICS INC
Active
Parent organization
NEURODYNAMICS INC
Other names
Neurodynamics, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEURODYNAMICS INC
Authorized official
DR. CAROLYN BOWER AUD (CEO)
(858) 279-6772
Entity
Organization
Contact information
Practice address
2815 CAMINO DEL RIO S, STE 220, SAN DIEGO, CA 92108-3815
(858) 279-6772
(858) 279-7505
Mailing address
2815 CAMINO DEL RIO S, STE 220, SAN DIEGO, CA 92108-3815
(858) 279-6772
(858) 279-7505
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GAU000820
—
CA
Enumeration date
10/31/2006
Last updated
06/30/2016
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