Organization
SOUTHERN INDIANA REHABILITATION HOSPITAL
Active
Other names
Southern Indiana Rehabilitation Hospital Neuropsych Group
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY NAPIER (CHIEF EXECUTIVE OFFICER)
(812) 941-6106
Entity
Organization
Contact information
Practice address
3104 BLACKISTON BLVD, NEW ALBANY, IN 47150-9579
(812) 941-8300
Mailing address
PO BOX 2587, LOUISVILLE, KY 40201-2587
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
006205
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200350290
—
IN
Enumeration date
05/07/2007
Last updated
07/01/2008
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