Organization · Type 2 NPI

Montclair Memory Clinic LLC

Clinical Neuropsychologist · Montclair, NJ

NPI number 1114396835 Active

Practice location

70 Park Street, Suite 207
Montclair, NJ 07042-2960

Fax (973) 743-4055

Mailing address

PO Box 8121
Glen Ridge, NJ 07028-8121

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist Primary 103G00000X35SI00390000 (NJ)
Clinical Psychologist 103TC0700X35SI00390000 (NJ)
Speech-Language Pathologist 235Z00000XNone listed

Clinical Neuropsychologist: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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About NPI 1114396835

Montclair Memory Clinic LLC's National Provider Identifier is 1114396835, issued on Sep 23, 2015. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in Montclair, NJ. The record was last updated on Apr 15, 2016.