Organization
COASTAL PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL B. NAGELBERG PH.D. (PSYCHOLOGIST/OWNER)
(912) 352-2992
Entity
Organization
Contact information
Practice address
322 STEPHENSON AVE, SUITE B, SAVANNAH, GA 31405-5998
(912) 352-2992
(912) 352-3447
Mailing address
322 STEPHENSON AVE, SUITE B, SAVANNAH, GA 31405-5998
(912) 352-2992
(912) 352-3447
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000734
GA
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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