Organization · NPI-2

Coastal Neuropsychological Services INC

Clinical Neuropsychologist · Wilmington, NC

NPI number1679729503
StatusActive
Last updated in NPPESJan 22, 2015

Details

NPI
1679729503
Entity type
Organization (NPI-2)
Legal business name
Coastal Neuropsychological Services INC
Organization subpart
No
Enumeration date
Aug 12, 2008
Last updated
Jan 22, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103G00000X Clinical Neuropsychologist––Yes

Practice location

7655 Market St
Wilmington, NC 28411-9458

Phone 910-681-3880 · Fax 910-681-3885

Mailing address

7655 Market St
Wilmington, NC 28411-9458

Phone 910-681-3880 · Fax 910-681-3885

Authorized official

Christy L Jones
Psychologist/Owner
9106813880

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