Organization
GULF COAST NEUROPSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUN KELLEY O'NEAL PSYD (OWNER)
(941) 993-3074
Entity
Organization
Contact information
Practice address
2650 BAHIA VISTA ST, SUITE 201, SARASOTA, FL 34239-2635
(941) 993-3074
(941) 722-3039
Mailing address
2650 BAHIA VISTA ST, SUITE 201, SARASOTA, FL 34239-2635
(941) 993-3074
(941) 722-3039
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY7351
FL
Other
Enumeration date
05/03/2017
Last updated
06/05/2017
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