| NPI | 1326204504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN LEONCE MAILLOUX Neuropsychologist 907-306-6525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2024-03-06 |