Organization
NEUROPSYCHOLOGY SERVICE PA
Active
Organization
NEUROPSYCHOLOGY SERVICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROYAL G GRUENEICH PHD (PRESIDENT)
(207) 990-2580
Entity
Organization
Contact information
Practice address
277 STATE STREET, SUITE 2A, BANGOR, ME 04401-5440
(207) 990-2580
(207) 990-1930
Mailing address
277 STATE ST, SUITE 2A, BANGOR, ME 04401-5439
(207) 990-2580
(207) 990-1930
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5418635
AETNA
—
01
—
P0724
ANTHEM
—
Enumeration date
05/07/2007
Last updated
12/02/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up