Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Neuroevolve Integrative Health, a Professional Psychology Corporation

Organization Clinical Neuropsychologist · NPI 1588406177

Neuroevolve Integrative Health, a Professional Psychology Corporation is a Clinical Neuropsychologist in San Diego, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
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Practice location Address checks out

10085 Carroll Canyon Rd Ste 200H
San Diego, CA 92131-1100
Phone: (858) 208-3463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1588406177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha Wilson — Cfo · (760) 616-9311
Other names Neuroevolve Integrative Health; Neuroevolve Integrative Health
NPI enumeratedJune 12, 2024
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024
Mailing address10085 Carroll Canyon Rd Ste 200h, San Diego, CA 92131-1100

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