Organization Name: | JOSEPH T ELDER, PSY.D., P.C. |
NPI Number: | 1003040395 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH THOMAS ELDER (CLINICAL NEUROPSYCHOLOGIST) |
Mailing Address: | 1439 Mclendon Dr Ste D Decatur |
State: | GA US |
Postal Code: | 300331841 |
Phone Number: | 4044934381 |
Fax Number: | 7709343280 |
NPI Enumeration Date: | 05/14/2009 |
NPI Last Update Date: | 08/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | PSY002698 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |