Organization
BERKS NEUROPSYCHOLOGY, LLC
Active
Other names
David E. Nicodemus, Jr.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID EDWARD NICODEMUS JR. M.A. (OWNER)
(610) 921-3172
Entity
Organization
Contact information
Practice address
1623 MORGANTOWN RD, READING, PA 19607-9455
(610) 796-6422
(610) 796-6470
Mailing address
700 CAROLINA AVE, READING, PA 19605-1102
(610) 921-3172
(610) 796-6470
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS007441L
PA
103TC0700X
Clinical Psychologist
PS007441L
PA
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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