Organization Name: | ASSESSMENT AND CONSULTATION SERVICES LLC |
NPI Number: | 1841587870 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL GALLAGHER (ADMINISTRATOR) |
Mailing Address: | 1061 Fish Rd Tiverton |
State: | RI US |
Postal Code: | 028783103 |
Phone Number: | 4016247281 |
Fax Number: | 4016247208 |
NPI Enumeration Date: | 06/28/2011 |
NPI Last Update Date: | 06/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 1016742 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
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. |