Organization
FAYETTEVILLE NEUROPSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT R GAMBLE (OFFICE MANAGER)
(910) 677-0000
Entity
Organization
Contact information
Practice address
2931 BREEZEWOOD AVE STE 100, FAYETTEVILLE, NC 28303-5281
(910) 677-0000
(910) 677-0099
Mailing address
2931 BREEZEWOOD AVE STE 100, FAYETTEVILLE, NC 28303-5281
(910) 677-0000
(910) 677-0099
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1853
NC
Other
Enumeration date
09/18/2017
Last updated
01/07/2021
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