Organization
COASTAL NEUROPSYCHOLOGY SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE DANIEL CHASMAN PH.D. (DIRECTOR)
(860) 997-4723
Entity
Organization
Contact information
Practice address
1608 PARADISE LAKE DR, MOUNT PLEASANT, SC 29464-5719
(860) 997-4723
(860) 997-4723
Mailing address
PO BOX 2520, MOUNT PLEASANT, SC 29465-2520
(860) 997-4723
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1449
SC
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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