Provider Demographics
NPI:1386809366
Name:NAPLES NEUROPSYCHOLOGY, P.A.
Entity type:Organization
Organization Name:NAPLES NEUROPSYCHOLOGY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:OUAOU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:239-514-3003
Mailing Address - Street 1:679 110TH AVE N
Mailing Address - Street 2:NAPLES NEUROPSYCHOLOGY, P.A.
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-1817
Mailing Address - Country:US
Mailing Address - Phone:239-514-3003
Mailing Address - Fax:239-514-7009
Practice Address - Street 1:2450 GOODLETTE RD N STE 101
Practice Address - Street 2:NAPLES NEUROPSYCHOLOGY, P.A.
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-4595
Practice Address - Country:US
Practice Address - Phone:239-514-3003
Practice Address - Fax:239-514-7009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-19
Last Update Date:2008-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6868103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty