| NPI | 1295002442 |
|---|---|
| Doing Business As | RIVERSIDE NEUROPSYCHOLOGY AND BEHAVIORAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JAMES LESNICK Vice President 757-594-4006 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2014-10-15 |