Organization Name: | NORMAN NEUROPSYCHOLOGY ASSOCIATES, PLLC |
NPI Number: | 1407102742 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN F LINCK (CLINICAL NEUROPSYCHOLOGIST/MANAGER) |
Mailing Address: | 3280 Marshall Ave Norman |
State: | OK US |
Postal Code: | 730728022 |
Phone Number: | 4058187768 |
Fax Number: | |
NPI Enumeration Date: | 07/24/2012 |
NPI Last Update Date: | 11/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 08/17/2012 |
NPI Reactivation Date: | 11/02/2012 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 1147 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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. |