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

Space Coast Neuropsychology Center Inc

Organization Clinical Neuropsychologist · NPI 1417307984

Space Coast Neuropsychology Center Inc provides Clinical Neuropsychologist services in Melbourne, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1900 S Harbor City Blvd
Melbourne, FL 32901-4749 Not confirmed with CMS for 10 years — call before visiting
Phone: (321) 373-1303
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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 PY8636 (FL)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY8636 (FL)

Record details

NPI number1417307984
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christine Salinas — Owner · (321) 373-1303
NPI enumeratedJune 15, 2016
Last updated in NPPESJune 15, 2016
Mailing address1900 S Harbor City Blvd, Melbourne, FL 32901-4749

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