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Request Tax ID (VA Hospitals)

Some Veterans Affairs (VA) Hospitals prefer to setup an account with us prior to placing orders. To receive Cognistat's Tax ID information, you should fill out the request form below. Note that you must provide a valid e-mail address from a VA Hospital. Once we have confirmed the authenticity of the request, we will contact you with instructions on how to access this information.

Note that the Northern California Neurobehavioral Group (NCNG) is a physician-owned small business. NCNG is not affiliated with any hospital. NCNG also has plans to make a DUNS # available to VA Hospitals in the future.


VA Hospital Name: *

VA Hospital Address 1: *

VA Hospital Address 2:

VA Hospital City: *

VA Hospital
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VA Hospital
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VA Hospital Phone: *

Contact Name: *

Contact Job Title: *

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Contact E-mail Address: *

[E-mail address must be associated with a VA Hospital. No personal e-mail accounts, please.]

Please enter the number that you see below into the subsequent text field. This step helps to prevent malicious scripts from posting to our database.


 
Did You Know?
Question Mark
In a recent survey, Rabin, Barr and Burton found that Cognistat was among the 20 most widely used test instruments employed by neuropsychologists in the United States and Canada.
FROM THE DOCTORS
By Ralph J. Kiernan, Ph.D.
Neuropsychologists are constantly faced with a complex clinical task that requires them to draw upon a broad empirical data base in relating test scores to brain dysfunction.
Read More