NPI 1053830315

Fayetteville Neuropsychology PLLC

Organisation Clinical Neuropsychologist Fayetteville, NC

Practice location

Address: 2931 Breezewood Ave STE 100, Fayetteville, NC 28303-5281
Phone: (910) 677-0000
Fax: (910) 677-0099

Authorised official

Name: Robert R Gamble
Title: Office Manager
Phone: (910) 677-0000

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 1853 (NC)

Other Clinical Neuropsychologist providers in North Carolina →

Registry record

NPI: 1053830315
Entity type: Organization
NPI issued: 18 Sep 2017
Record last updated: 7 Jan 2021

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.