Organization Name: | NEUROBEHAVIORAL SERVICES, PSC |
NPI Number: | 1053506246 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY J CARBARY (PRESIDENT/CEO) |
Mailing Address: | 261 Regency Cir Suite 4 Lexington |
State: | KY US |
Postal Code: | 405032348 |
Phone Number: | 8593730133 |
Fax Number: | 8593738119 |
NPI Enumeration Date: | 09/11/2007 |
NPI Last Update Date: | 09/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | KY-1308 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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. |