DR. DAVID WILLIAM HAGEDORN PH.D. NPI 1992906747

NPI Information

  • NPI: 1992906747
  • Provider Name: DR. DAVID WILLIAM HAGEDORN, PH.D.
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Individual
  • Address: 100 BREWSTER BLVD
    NAVAL HOSPITAL - FAMILY MEDICINE
    CAMP LEJEUNE, NC
    ZIP 28547
  • Phone: (910) 450-8805

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NPI Details

DR. David William Hagedorn, PH.D. is a clinical neuropsychologist in Camp Lejeune, 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. DR. David William Hagedorn, PH.D. NPI is 1992906747. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 BREWSTER BLVD
NAVAL HOSPITAL - FAMILY MEDICINE
CAMP LEJEUNE, NC
ZIP 28547
Phone: (910) 450-8805
Fax: (910) 353-1763

The enumeration date for this NPI number is 5/30/2007 and was last updated on 5/19/2011.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical1117SOUTH CAROLINANo
2103TC0700XPsychologistClinicalPY00003898WASHINGTONNo
3103TC2200XPsychologistClinical Child & Adolescent32594TEXASNo
4103G00000XClinical Neuropsychologist3745NORTH CAROLINAYes

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: 11/21/2025

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