Organization Name: | CHILD NEUROPSYCHOLOGY & COUNSELING CENTER, P.C. |
NPI Number: | 1922121425 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDY SYLVAN POTTINGER (PEDIATRIC NEUROPSYCHOLOGIST) |
Mailing Address: | 5232 Village Creek Dr Suite 200 Plano |
State: | TX US |
Postal Code: | 750934437 |
Phone Number: | 9724905757 |
Fax Number: | 9722503644 |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 31374 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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. |