Neurodiverse Diagnostics Pllc

NPI #1407678113 in Marco Island, Florida

Provider Information

NPI Number: 1407678113
Entity Type: Organization
Organization Name: Neurodiverse Diagnostics Pllc
Primary Specialty: Psychologist - Clinical
Enumeration Date: Oct 25, 2024
Last Updated: Oct 25, 2024

Practice Location

Address: 996 ROYAL MARCO WAY
City: Marco Island
State: Florida
ZIP Code: 34145-1829
Phone: (469) 694-1754

Authorized Official

Name: DOREEN GRANPEESHEH, PHD
Title: CEO
Phone: (469) 694-1754

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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