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

Neurodiverse Diagnostics PLLC

Organization Clinical Psychologist · NPI 1407678113

Neurodiverse Diagnostics PLLC is a Clinical Psychologist in Marco Island, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

996 Royal Marco Way
Marco Island, FL 34145-1829
Phone: (469) 694-1754
Fax: (818) 758-8015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1407678113
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Doreen Granpeesheh — Ceo · (469) 694-1754
NPI enumeratedOctober 25, 2024
Last updated in NPPESOctober 25, 2024
Certification dateOctober 25, 2024
Mailing address996 Royal Marco Way, Marco Island, FL 34145-1829

Other providers in Marco Island