Provider Demographics
NPI:1124794987
Name:NEUROPSYCHOLOGICAL EVALUATION AND TREATMENT SERVICES
Entity type:Organization
Organization Name:NEUROPSYCHOLOGICAL EVALUATION AND TREATMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAHIRIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTRECHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-642-5959
Mailing Address - Street 1:PO BOX 10122
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33679-0122
Mailing Address - Country:US
Mailing Address - Phone:813-820-0677
Mailing Address - Fax:813-820-0677
Practice Address - Street 1:8819 RIVER CROSSING BLVD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-5132
Practice Address - Country:US
Practice Address - Phone:813-820-0677
Practice Address - Fax:813-820-0677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-20
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty