Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fayetteville Neuropsychology PLLC

Organization Clinical Neuropsychologist · NPI 1053830315

Fayetteville Neuropsychology PLLC provides Clinical Neuropsychologist services in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2931 Breezewood Ave Ste 100
Fayetteville, NC 28303-5281
Phone: (910) 677-0000
Fax: (910) 677-0099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 1853 (NC)

Record details

NPI number1053830315
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Gamble — Office Manager · (910) 677-0000
NPI enumeratedSeptember 18, 2017
Last updated in NPPESJanuary 7, 2021
Certification dateJanuary 7, 2021
Mailing address2931 Breezewood Ave Ste 100, Fayetteville, NC 28303-5281

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