Organization Name: | MINNEAPOLIS CLINIC OF NEUROLOGY, LTD |
NPI Number: | 1992739247 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES HAUGEN HOROWITZ (PRESIDENT) |
Mailing Address: | 4225 Golden Valley Rd Golden Valley |
State: | MN US |
Postal Code: | 554224215 |
Phone Number: | 7635880661 |
Fax Number: | 7632872310 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 12/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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. |