Provider Demographics
NPI:1538404298
Name:NEUROPSYCHOLOGY MANAGEMENT PARTNERS, LLC
Entity type:Organization
Organization Name:NEUROPSYCHOLOGY MANAGEMENT PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND COO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:L
Authorized Official - Last Name:QUIGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-864-8996
Mailing Address - Street 1:1415 NORTH LOOP W
Mailing Address - Street 2:STE 1100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1664
Mailing Address - Country:US
Mailing Address - Phone:713-864-8996
Mailing Address - Fax:713-820-4220
Practice Address - Street 1:3869 DARROW RD
Practice Address - Street 2:SUITE 104
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-2691
Practice Address - Country:US
Practice Address - Phone:713-864-8996
Practice Address - Fax:713-820-4220
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MENTIS NEURO REHABILITATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-06
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty