Individual provider · NPI-1

Dr. Antonio E Puente, PhD

Clinical Neuropsychologist · Wilmington, NC

NPI number1508968843
StatusActive
Last updated in NPPESJul 21, 2015

Details

NPI
1508968843
Entity type
Individual (NPI-1)
Name
Dr. Antonio E Puente
Credential
PhD
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 5, 2006
Last updated
Jul 21, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103G00000X Clinical NeuropsychologistNC0831NCYes

Practice location

1508 Military Cutoff Road
Ste 303
Wilmington, NC 28403

Phone 910-509-9371 · Fax 910-509-9372

Mailing address

1508 Military Cutoff Road
Ste 303
Wilmington, NC 28403

Phone 910-509-9371 · Fax 910-509-9372

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