Northlake Neurorehab Center
Organization Active NPI Clinical Neuropsychologist · Covington, LA
NPI 1942533864 · NPPES record last updated Sep 9, 2009
Key facts
- NPI
- 1942533864
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Neuropsychologist 103G00000X
- License
- 501 (LA)
- Legal business name
- NORTHLAKE NEUROREHAB CENTER
- Practice address
- 60 Louis Prima Dr
Suite a
Covington, LA 70433-5903 - Phone
- (985) 809-0929
- Fax
- (985) 809-0223
- NPI assigned
- Sep 9, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Rafael Francisco Salcedo, PH.D
- Title
- Nueropsychologist
- Phone
- (985) 809-0929
Practitioners 2
-
Charles Burchell, PH D
-
Frank Anthony Trupiano, LCSW
National Provider Directory
Locations
1581 Carol Sue Ave
Ste 211
Gretna, LA 70056
Phone (504) 392-3498
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist |
103G00000X | 501 | LA | Yes |
| Physical Therapist |
225100000X | 1574 | LA | |
| Speech-Language Pathologist |
235Z00000X | 1574 | LA |
Addresses
Primary practice location
60 Louis Prima Dr
Suite a
Covington, LA 70433-5903
Mailing address
60 Louis Prima Dr
Suite a
Covington, LA 70433-5903
Phone (985) 809-0929
Other providers in Covington, LA
- North Shore MRI LLC
- Northlake Medical Supply, Inc
- Northlake Medicine and Wellness Center, LLC
- Northlake Nephrology Inc
- Northlake Nephrology Physicians Group LLC
- Northlake Pharmacy Inc
- Northlake Pulmonary Associates Inc.
- Northlake Surgical Associates, LTD a Professional Medical Corporation
- Northland Hearing Centers, Inc.
- Northshore Behavioral Health, LLC
All providers in Covington, LA · Clinical Neuropsychologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2009. 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.