Provider Demographics
NPI:1841016391
Name:CORTEX CARE NEUROPSYCHOLOGY PLLC
Entity type:Organization
Organization Name:CORTEX CARE NEUROPSYCHOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PELIN
Authorized Official - Middle Name:
Authorized Official - Last Name:STREBLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:602-551-6044
Mailing Address - Street 1:PO BOX 93092
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85070-3092
Mailing Address - Country:US
Mailing Address - Phone:903-570-3069
Mailing Address - Fax:
Practice Address - Street 1:4435 E CHANDLER BLVD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-7649
Practice Address - Country:US
Practice Address - Phone:602-551-6044
Practice Address - Fax:480-542-2204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty