Organization
HEIMBERG NEUROPSYCHOLOGY - PSYCHOLOGICAL TESTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON FREIBERG HEIMBERG PSYD (CEO)
(646) 687-1004
Entity
Organization
Contact information
Practice address
5000 PARKWAY CALABASAS STE 218, CALABASAS, CA 91302-3909
(424) 234-1155
(855) 943-3312
Mailing address
21300 DUMETZ RD APT G, WOODLAND HILLS, CA 91364-4409
(646) 687-1004
(855) 943-3312
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103T00000X
Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0262737
NEW YORK LICENSE
NY
01
—
PSY33820
CA LICENSE
CA
Enumeration date
05/23/2023
Last updated
09/30/2024
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