Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Psychological and Neurobehavioral Services P A

Organization Clinical Neuropsychologist · NPI 1528127081

Psychological and Neurobehavioral Services P A provides Clinical Neuropsychologist services in Lakeland, Florida. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

4720 Cleveland Heights Blvd Ste 105
Lakeland, FL 33813-2243 Not confirmed with CMS for 18 years — call before visiting
Phone: (863) 701-9202
Fax: (863) 701-9262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X

Record details

NPI number1528127081
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracey Henley — President · (863) 701-9202
NPI enumeratedDecember 8, 2006
Last updated in NPPESJune 5, 2008
Mailing address4720 Cleveland Heights Blvd, Suite 105, Lakeland, FL 33813-2243

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