Individual
DR. CARL NICHOLAS CORDONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
165 CENTER ST, JACKSONVILLE, NC 28546-5708
(910) 219-8000
(910) 219-8073
Mailing address
123 DOCKSIDE DR, JACKSONVILLE, NC 28546-9769
(910) 577-9273
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
955
NC
103TA0700X
Adult Development & Aging Psychologist
955
NC
103TB0200X
Cognitive & Behavioral Psychologist
955
NC
103TC0700X
Clinical Psychologist
955
NC
103TC2200X
Clinical Child & Adolescent Psychologist
955
NC
103TF0000X
Family Psychologist
955
NC
103TF0200X
Forensic Psychologist
955
NC
103TH0100X
Health Service Psychologist
955
NC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
Primary
955
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2818511
—
NC
Enumeration date
04/13/2007
Last updated
09/11/2025
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