Organization · Type 2 NPI
Inland Empire Autism Spectrum Disorder Assessment Center of Excellence
Clinical Neuropsychologist · San Bernardino, CA
Practice location
1499 S Tippecanoe Ave Building A
San Bernardino, CA 92415-0024
Fax (909) 799-5999
Mailing address
1499 S Tippecanoe Ave Bldg A
San Bernardino, CA 92408-2920
Other practice locations
- 19314 Jesse Ln Ste 200, Riverside, CA 92508-5070 · (909) 799-3777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | PSY24993 (CA) |
| Psychologist | 103T00000X | PSY15160 (CA) |
| Psychologist | 103T00000X | PSY23181 (CA) |
| Psychologist | 103T00000X | PSY25134 (CA) |
| Specialist | 174400000X | G46919 (CA) |
| Specialist | 174400000X | A118211 (CA) |
| Specialist | 174400000X | A239458 (CA) |
| Occupational Therapist | 225X00000X | 2683 (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.
About NPI 1689031528
Inland Empire Autism Spectrum Disorder Assessment Center of Excellence's National Provider Identifier is 1689031528, issued on Jan 22, 2016. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in San Bernardino, CA. The record was last updated on Aug 1, 2023.