| NPI | 1689181638 |
|---|---|
| Former Legal Business Name | LIFESPAN NEUROPSYCHOLOGY AND CLINICAL NEUROSCIENCE, LLC |
| Entity Type | Organization |
| Authorized Contact | GEORGIANNA DART Owner 908-472-1255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 4987) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2019-11-27 |