Cornerstone Neuropsychology, LLC
Organization Active NPI Clinical Psychologist · Shalimar, FL
NPI 1245675784 · NPPES record last updated May 9, 2013
Key facts
- NPI
- 1245675784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY7940 (FL)
- Legal business name
- CORNERSTONE NEUROPSYCHOLOGY, LLC
- Practice address
- 1270 Eglin Pkwy
Suite C-12
Shalimar, FL 32579-2306 - Phone
- (850) 613-6677
- Fax
- (850) 613-6993
- NPI assigned
- May 9, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Randi Nichols McDonald, PSY.D.
- Title
- Owner
- Phone
- (850) 613-6677
National Provider Directory
Locations
1270 N Eglin Pkwy
Ste C12
Shalimar, FL 32579
Phone (850) 582-2218
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist |
103G00000X | PY7940 | FL | |
| Psychologist |
103T00000X | PY7940 | FL | |
| Cognitive & Behavioral Psychologist |
103TB0200X | PY7940 | FL | |
| Clinical Psychologist |
103TC0700X | PY7940 | FL | Yes |
| Forensic Psychologist |
103TF0200X | PY7940 | FL | |
| Intellectual & Developmental Disabilities Psychologist |
103TM1800X | PY7940 | FL |
Addresses
Primary practice location
1270 Eglin Pkwy
Suite C-12
Shalimar, FL 32579-2306
Mailing address
1270 Eglin Pkwy
Suite C-12
Shalimar, FL 32579-2306
Phone (850) 613-6677
Other providers in Shalimar, FL
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- Michael Ciosek
- Hannah Nicole Colgan
- Erica Connell
- Continuum Integrative Counseling
- Amelia Cornutt
- David Rankin Arrowsmith MD PA
- Amy R Davis
- Development Behavior Solutions, LLC
- George B Dorris Jr.
All providers in Shalimar, FL · Clinical Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.