Organization
NEUROGLIA PLLC
Active
Other names
Gilbert Neuropsychology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURABHI YESHWANT PATWARDHAN PH.D. (OWNER)
(847) 913-4154
Entity
Organization
Contact information
Practice address
1525 S HIGLEY RD STE 104, GILBERT, AZ 85296-5045
(847) 913-4154
(480) 535-5858
Mailing address
1525 S HIGLEY RD STE 104, GILBERT, AZ 85296-5045
(847) 913-4154
(480) 535-5858
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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