Provider Demographics
NPI:1124813654
Name:ISAAC TOURGEMAN CLINICAL NEUROPSYCHOLOGY PLLC
Entity type:Organization
Organization Name:ISAAC TOURGEMAN CLINICAL NEUROPSYCHOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:TOURGEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:305-794-8756
Mailing Address - Street 1:1900 N BAYSHORE DR APT 2515
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-3013
Mailing Address - Country:US
Mailing Address - Phone:305-794-8756
Mailing Address - Fax:
Practice Address - Street 1:1900 N BAYSHORE DR APT 2515
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-3013
Practice Address - Country:US
Practice Address - Phone:305-794-8756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)