Organization Name: | NEUROPSYCHOLOGICAL TESTING AND COUNSELING |
NPI Number: | 1013147743 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH MARIE SOETY (CLINICAL PSYCHOLOGIST) |
Mailing Address: | 104 Borders Way Ste 700 Warner Robins |
State: | GA US |
Postal Code: | 310888966 |
Phone Number: | 4789530088 |
Fax Number: | 4789530093 |
NPI Enumeration Date: | 07/15/2009 |
NPI Last Update Date: | 09/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | PSY2815 |
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. |