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Organization

EDDIE TESSNEAR

Active
Other names
Coastal Psychological Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDDIE STUART TESSNEAR PH.D. (LICENSED PSYCHOLOGIST)
(252) 291-1100
Entity
Organization

Contact information

Practice address
2403 WOOTEN BLVD SW, SUITE E, WILSON, NC 27893-4463
(252) 291-1100
Mailing address
2403 WOOTEN BLVD SW, SUITE E, WILSON, NC 27893-4463
(252) 291-1100

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1506
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0267L
BLUE CROSS BLUE SHIELD NC
NC
05
6005109
NC
Enumeration date
04/22/2007
Last updated
01/24/2011
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