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White Sand and Stone

About Piece By Piece

Our Mission  

At Piece By Piece, Neurobehavioral Services, we believe every person deserves to feel understood and that we all do better the more we understand each other. Our team of doctors provide high quality neuropsychological and psychological care through direct clinical services, excellent training and giving back to the community. In doing so, we aspire to be the most trusted neuropsychological clinic for both services and training.

What signs or behavior might indicate the need for an evaluation?

Our team of healthcare providers work with children, adolescents, and adults, both individually and as family systems, offering neuropsychological and psychological testing. We approach all clinic work by first seeking to understand and build a foundation of a comfortable and trusting relationship. We then collect information to quantify what is going on with thinking, feeling and behavior. Finally, we use the results to plan the best way, based upon research, to improve lives for individuals and families.  

What should I expect during the neuropsychological evaluation?

Our evaluations follow a simple three-step process:

  1. Clinical interview with the doctor in which background information is gathered regarding medical, psychiatric and academic history, this typically lasts 1 hour. The doctor may also request to consult with any referring provider or request relevant medical records as needed.​​ Clinical interviews are typically conducted virtually unless otherwise clinically indicated.

    2. Neuropsychological Testing including pen and paper as well as computerized cognitive tasks and questionnaires are completed one               on one with a qualified health care provider. This can last 1-4 hours depending on client needs. 


   3. Feedback appointment is generally scheduled two weeks after testing in which results and recommendations of the evaluation are                discussed with the doctor and reports are provided as well as faxed to any referring provider.  Feedback appointments are typically            conducted virtually unless otherwise clinically indicated.

How do I know if a neuropsychological evaluation is needed?


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  • Poor grades, negative teacher comments, difficulty grasping academic concepts.

  • Poor attention to details, problems staying on task, low organization.

  • Hyperactivity, impulsivity, defiance, rule-violating behaviors.

  • Irritability, sadness, excessive worry, emotional outbursts.

  • Difficulty making or maintaining friendships, poor use and understanding of social skills, disinterest in socializing.

Adults/Older Adults

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  • Longstanding concerns with attention, learning or memory

  • Worsening of longstanding cognitive concerns

  • Changes in short-term memory, such as asking the same question repeatedly or forgetfulness of recent information.

  • Misplacing/losing items, becoming lost easily 

  • Difficulty speaking, finding words, or understanding what others say. 

  • Challenges recognizing things or familiar people.

  • Disorientation while driving or around home/stores.

  • Questions about decision-making or capacity

  • Unexplained changes in personality (ex: development of delusions or hallucinations).

  • New difficulty understanding or managing finances, medication, or self-care activities.

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Common Conditions and Reasons for Referral

Learning Disorders
Behavioral concerns 
Anxiety/Depression or other mood concerns
Brain Injury/Concussions
Movement Disorders

Alzheimer's Disease
Vascular Disease
Neurodegenerative Disease
Brain tumors

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