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GULF COAST NEUROPSYCHOLOGY LLC NPI 1972039584


NPI Information

NPI: 1972039584
Provider Name: GULF COAST NEUROPSYCHOLOGY, LLC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
2650 BAHIA VISTA ST
SUITE 201
SARASOTA, FL
ZIP 34239
Phone: (941) 993-3074
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GULF COAST NEUROPSYCHOLOGY, LLC is a clinical neuropsychologist in Sarasota, FL. 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. GULF COAST NEUROPSYCHOLOGY, LLC NPI is 1972039584. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2650 BAHIA VISTA ST
SUITE 201
SARASOTA, FL
ZIP 34239-635
Phone: (941) 993-3074
Fax: (941) 722-3039

The provider's authorized official is Shaun Kelley O'neal .
The authorized official title is Owner and has the following contact phone number (941) 993-3074.

The enumeration date for this NPI number is 5/3/2017 and was last updated on 6/5/2017.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistPY7351FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U8900XMEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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