OrganizationActive
Developmental Neuropsychological Services, P.C.
NPI 1861874869 · Clinical Neuropsychologist · South Bend, IN
Provider details
- NPI number
- 1861874869
- Entity type
- Organization
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Chad Edwards, Owner/President(574) 855-7169
- License
- 20042553A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
3608 Pleasant St
South Bend, IN 46615-2033
Phone: (574) 367-2371
Approximate (ZIP-level) locationGet directions
Mailing address
3608 Pleasant St
South Bend, IN 46615-2033
Registry dates
- Enumerated
- 2015-06-25
- Last updated
- 2015-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.