| NPI | 1295863405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BURDELLE Neurodiagnostic Lab Manager 650-723-0244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |