Provider Demographics
NPI:1285756999
Name:NEUROPSYCHOLOGICAL ASSESSMENT & CONSULTATION SERVICES
Entity type:Organization
Organization Name:NEUROPSYCHOLOGICAL ASSESSMENT & CONSULTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:KENNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:212-585-3696
Mailing Address - Street 1:42 E 81ST ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0202
Mailing Address - Country:US
Mailing Address - Phone:212-585-3696
Mailing Address - Fax:
Practice Address - Street 1:39 E 78TH ST
Practice Address - Street 2:SUITE 501
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-0213
Practice Address - Country:US
Practice Address - Phone:212-327-4979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014167103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty