Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clinical Neuropsychology Associates, PC

Organization Clinical Neuropsychologist · NPI 1972640928

Clinical Neuropsychology Associates, PC is a Clinical Neuropsychologist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1528 Walnut St Ste 1500
Philadelphia, PA 19102-3604
Phone: (215) 735-2505
Fax: (215) 735-2504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 004599L (PA)

Record details

NPI number1972640928
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Maitz — Treasurer · (215) 735-2505
NPI enumeratedJanuary 31, 2007
Last updated in NPPESOctober 5, 2010
Mailing addressPo Box 359, Furlong, PA 18925-0359

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