Organization · Type 2 NPI

Sports Concussion Institute A Psychology Group Inc

Clinical Neuropsychologist · Los Angeles, CA

NPI number 1194896498 Active

Practice location

5230 Pacific Concourse Dr, Suite 300
Los Angeles, CA 90045-6200

Fax (310) 643-5180

Mailing address

5230 Pacific Concourse Drive, Suite 300
Los Angeles, CA 90045-6200

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist Primary 103G00000XPSY12223 (CA)

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 1194896498

Sports Concussion Institute A Psychology Group Inc's National Provider Identifier is 1194896498, issued on Nov 10, 2006. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 9, 2017.