COASTAL NEUROTHERAPY P.A. NPI 1528353729

NPI Details

COASTAL NEUROTHERAPY, P.A. is a clinical neuropsychologist in Jacksonville, NC. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. COASTAL NEUROTHERAPY, P.A. NPI is 1528353729. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 VALENCIA DR
SUITE 109
JACKSONVILLE, NC
ZIP 28546-311
Phone: (910) 353-1760

The provider's authorized official is David Hagedorn .
The authorized official title is President/owner and has the following contact phone number (910) 353-1760.

The enumeration date for this NPI number is 6/15/2011 and was last updated on 6/15/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: