Coastal Neurotherapy, PA
Coastal Neurotherapy, PA provides Clinical Neuropsychologist services in Jacksonville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.
- Licensed in
- NC
- In the registry since
- 2011
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
200 Valencia Dr Ste 109Jacksonville, NC 28546-6311 Not confirmed with CMS for 15 years — call before visiting
Phone: (910) 353-1760
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Neuropsychologist (primary) | Taxonomy 103G00000X · Licence 3745 (NC) |
|---|
Record details
| NPI number | 1528353729 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Hagedorn — President/Owner · (910) 353-1760 |
| NPI enumerated | June 15, 2011 |
| Last updated in NPPES | June 15, 2011 |
| Mailing address | 200 Valencia Dr, Suite 109, Jacksonville, NC 28546-6311 |
Other providers in Jacksonville
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Dr. Tobi Nobbs Gilbert, PSYD
4355B Gum Branch Rd, Jacksonville, NC 28540-9178 · (727) 488-3605
-
Nicole Annette Hagedorn, DO
2680 Henderson Dr Ste 5, Jacksonville, NC 28546-5297 · (910) 355-0442