Organization Name: | BEHAVIORAL RESOURCES AND INSTITUTE FOR NEUROPSYCHOLOGICAL SERVICES |
NPI Number: | 1467724518 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROCHELLE MANOR (COOWNER-NEUROPSYCHOLOGIST) |
Mailing Address: | 3292 Evergreen Dr Ne Grand Rapids |
State: | MI US |
Postal Code: | 495259580 |
Phone Number: | 6163658920 |
Fax Number: | 6163658971 |
NPI Enumeration Date: | 02/06/2012 |
NPI Last Update Date: | 03/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |