| NPI | 1285358143 |
|---|---|
| Doing Business As | BEACON NEUROPSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | KAREN LEE HANSON BONDI Secretary 858-333-4261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-03 |