Rush Pediatric Neuropsychology, Pllc

LBN: Rush Pediatric Neuropsychology, Pllc
Rush Pediatric Neuropsychology, Pllc is an health care organization with primary practice located at 412 Plymouth Ave Ne , Grand Rapids MI 49505-6028. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is the primary health care specialty. Rush Pediatric Neuropsychology, Pllc can be contacted via phone (616) 780-0590, or through Rush, Shana J via phone (616) 780-0590.

Contact Information

Primary practice address
412 Plymouth Ave Ne Grand Rapids MI 49505-6028
Phone: (616) 780-0590
Fax: (616) 984-4559
Website:
Map and Directions
Authorized official contact:
Name: Rush, Shana J PHD
Phone: (616) 780-0590

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1740997477
LBN Legal business name Rush Pediatric Neuropsychology, Pllc
DBA Doing business as
Authorized official Rush, Shana J PHD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2022
Last updated May 12th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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