NPI 1043996986

Coastline Neuropsychiatric

Organisation Clinical Neuropsychologist Pensacola, FL

Practice location

Address: 890 S Palafox St Suite 300-L, Pensacola, FL 32502
Phone: (850) 341-4896
Fax: (850) 433-1996
Mailing address: 304 W Gadsden St, Pensacola, FL 32501

Authorised official

Name: Kevin Neil Groom
Title: Owner
Phone: (850) 341-4896

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X

Other Clinical Neuropsychologist providers in Florida →

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X

Other Psychiatry & Neurology providers in Florida →

Registry record

NPI: 1043996986
Entity type: Organization
NPI issued: 26 Jun 2023
Record last updated: 6 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.