NEUROPSYCHOLOGICAL TESTING AND COUNSELING (NPI# 1013147743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013147743 |
| Entity Type | Organization |
| Organization Name | NEUROPSYCHOLOGICAL TESTING AND COUNSELING |
| Other Organization Name | ELIZABETH M. SOETY, PH.D. |
| Practice Address |
102 Gunn Rd Centerville GA 31028 |
| Mailing Address |
102 Gunn Rd Centerville GA 31028-1706 |
| Practice Telephone | 4789530088 |
| Practice Fax Number | 4789530093 |
| Mailing Telephone | 4789530088 |
| Mailing Fax Number | 4789530093 |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2018-07-11 |
| Authorized Official Name | DR. ELIZABETH MARIE SOETY (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 4789530088 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 2815 | GA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2815 | GA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Elizabeth M. Soety, Ph.D. | Other Name - Individual/Organization |
| Street Address |
102 GUNN RD |
| City | CENTERVILLE |
| State | GA |
| Zip Code | 31028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407815491 | Elizabeth Marie Soety | Clinical Neuropsychologist | 102 Gunn Rd, Centerville, GA 31028 | 2006-03-20 |
| 1376083543 | Work In Progress Counseling and Consulting LLC | Counselor | 102 Gunn Rd, Centerville, GA 31028-1706 | 2017-03-07 |
| 1821360371 | Joi Sabrina G Gay | Counselor | 102 Gunn Rd, Centerville, GA 31028-1706 | 2012-01-30 |
| 1740439389 | Patricia A Azab | Counselor | 102 Gunn Rd, Centerville, GA 31028-1706 | 2008-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891278743 | Latonia Queen Howard | Nurse Practitioner | 804 Arbor Ln, Centerville, GA 31028 | 2018-09-06 |
| 1134493620 | Ashley L Jack | Physician Assistant | 655 Seventh Street, Bldg 700, Centerville, GA 31028 | 2012-02-29 |
| 1982750766 | Denise Patrick Noel | Dentist | 618 N Houston Lake Blvd, Centerville, GA 31028-1010 | 2007-01-26 |
| 1093149874 | Janki Desai Patel | Dentist | 618 N Houston Lake Blvd, Centerville, GA 31028-1010 | 2013-08-28 |
| 1255640082 | Denise P Noel | Dentist | 618 N Houston Lake Blvd, Centerville, GA 31028-1010 | 2010-09-28 |
| 1518516228 | Emeli Eleyn Burlison | Dental Hygienist | 428 Sentry Oak Dr, Centerville, GA 31028-1200 | 2019-09-05 |
| 1083739346 | Antonia K Taylor | Optometrist | 2930 Watson Blvd, Centerville, GA 31028-1245 | 2007-03-19 |
| 1265506695 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2930 Watson Blvd, Galleria Mall, Centerville, GA 31028-1245 | 2006-11-18 |
| 1447878020 | Shanta Lafaye Watkins | Adult Companion | 103 Ashlund Dr, Centerville, GA 31028-1262 | 2020-07-09 |
| 1740569912 | Love & Care Home Health Care | Home Health | 209 Scarborough Rd, Centerville, GA 31028-1335 | 2011-08-05 |
| Find all providers in zip 31028 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568971455 | Kirsten Harrell | Psychologist | 6966 Wembley Cir, Centerville, OH 45459-6209 | 2017-09-24 |
| 1114391745 | Jeff Eagle | Psychologist | 42 Natka Dr, Centerville, MA 02632-2710 | 2015-11-19 |
| 1033428859 | Jeffrey P Lowery Psychologist PC | Psychologist | 1645 Falmouth Rd Ste 10f, Centerville, MA 02632-2936 | 2010-09-28 |
| 1154466654 | Dene S Berman | Psychologist | 7061 Corporate Way Ste 106, Centerville, OH 45459 | 2007-02-21 |
| 1376631713 | Southwestern Ohio Behavioral Health,llc | Psychologist | 35 Irongate Park Dr, Centerville, OH 45459-4616 | 2006-10-11 |
| 1154418903 | Kimberly Shaffer Tate | Psychologist | 35 Iron Gate Park Dr., Centerville, OH 45459-0000 | 2006-10-05 |
| 1649386301 | David Anthony Lombard | Psychologist | 2717 Miamisburg-centerville Rd., Suite 218, Centerville, OH 45459 | 2006-08-22 |
| 1447264833 | Ruth E Kauffold | Psychologist | 175 South Main St, Agape Counseling Center, Centerville, OH 45458 | 2006-07-28 |
| 1093756215 | Ronald H Nelson | Psychologist | 1284 Forest Walk Dr, Centerville, OH 45459-4904 | 2006-06-09 |
| 1689626327 | Michael Walker Shields | Psychologist | 1645 Falmouth Rd, Bayberry Square Unit E-3, Centerville, MA 02632-2932 | 2006-05-17 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 31028 |
Please comment or provide details below to improve the information on NEUROPSYCHOLOGICAL TESTING AND COUNSELING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.