NPI 1093242091

Coastal Neuropsychology Services, P.A.

Organisation Clinical Neuropsychologist Mount Pleasant, SC

Practice location

Address: 1608 Paradise Lake Dr, Mount Pleasant, SC 29464-5719
Phone: (860) 997-4723
Fax: (860) 997-4723
Mailing address: PO Box 2520, Mount Pleasant, SC 29465-2520

Authorised official

Name: Jesse Daniel Chasman
Title: Director
Phone: (860) 997-4723

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 1449 (SC)

Other Clinical Neuropsychologist providers in South Carolina →

Registry record

NPI: 1093242091
Entity type: Organization
NPI issued: 22 May 2017
Record last updated: 22 May 2017

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.