Organization
BRAIN LANE MEMORY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN M ESSIG PSYD (OWNER)
(561) 732-7000
Entity
Organization
Contact information
Practice address
930 PARKSIDE CIR N, BOCA RATON, FL 33486-5229
(561) 732-7000
(561) 361-1021
Mailing address
930 PARKSIDE CIR N, BOCA RATON, FL 33486-5229
(561) 732-7000
(561) 361-1021
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/07/2013
Last updated
04/29/2013
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