Organization Name: | AAA NEUROPSYCHOLOGY, LLC |
NPI Number: | 1053744201 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FARZIN IRANI (PSYCHOLOGIST) |
Mailing Address: | 101 Lindenwood Dr Suite 225 Malvern |
State: | PA US |
Postal Code: | 193551755 |
Phone Number: | 4848705608 |
Fax Number: | |
NPI Enumeration Date: | 08/12/2013 |
NPI Last Update Date: | 08/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS017067 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |