Organization
MAGNOLIA NEUROPSYCHOLOGY CORPORATION
Active
Organization
MAGNOLIA NEUROPSYCHOLOGY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY KEALEY (CEO)
(626) 823-2799
Entity
Organization
Contact information
Practice address
440 E HUNTINGTON DR STE 300, ARCADIA, CA 91006-3775
(626) 823-2799
Mailing address
440 E HUNTINGTON DR STE 300, ARCADIA, CA 91006-3775
(626) 823-2799
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
12/09/2022
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