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

The Memory Doctor, LLC

Organization Clinical Neuropsychologist · NPI 1265434534

The Memory Doctor, LLC is a Clinical Neuropsychologist in Leesburg, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

26540 Ace Ave Ste E-106
Leesburg, FL 34748-8279
Phone: (352) 530-2170
Fax: (352) 530-2180
Show map & directions

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

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PY6497 (FL)
Psychologist Taxonomy 103T00000X · Licence PY6497 (FL)

Record details

NPI number1265434534
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brenda Mason — Office Manager · (352) 530-2170
NPI enumeratedJune 1, 2005
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021
Mailing address26540 Ace Ave Ste E-106, Leesburg, FL 34748-8279

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