Coastal Support Specialists, Inc. in Wilmington - Psychologist
Coastal Support Specialists, Inc. - NPI 1780869297
Coastal Support Specialists, Inc. is a Psychologist in Wilmington, North Carolina. Coastal Support Specialists, Inc. practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Coastal Support Specialists, Inc. is 1780869297. The last update date is 2013-08-16.
Coastal Support Specialists, Inc.'s current location address is 2460 Delaney Ave, Wilmington, North Carolina. You can contact this provider via phone number 9107926130 and fax number 9107926132. The mailing address for Coastal Support Specialists, Inc. is 2460 Delaney Ave, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coastal Support Specialists, Inc. |
|---|---|
| Address | 2460 Delaney Ave, Wilmington, North Carolina |
| Phone Number | 9107926130 |
| Fax Number | 9107926132 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FINANCIAL |
|---|---|
| Authorized Official Name | Van Der Kuijl (Case) P. Camillus |
| Telephone Number | 9102331374 |
NPI Number Detail
| NPI Number | 1780869297 |
|---|---|
| Provider Enumeration Date | 2008-01-03 |
| Last Updated Date | 2013-08-16 |
Provider Mailing Address Detail
| Address | 2460 Delaney Ave |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284036062 |
| Phone Number | 9107926130 |
| Fax Number | 9107926132 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6008286 | NC | -- | |
| 8702029 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Coastal Support Specialists, Inc. by the Centers for Medicare & Medicaid Services?
The Coastal Support Specialists, Inc. has been assigned the NPI (National Provider Identifier) 1780869297. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Coastal Support Specialists, Inc. is geographically located?
The Coastal Support Specialists, Inc. is physically situated at the following location: 2460 Delaney Ave, Wilmington, NC, 284036062.
What is Coastal Support Specialists, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Coastal Support Specialists, Inc.'s specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780869297 to Coastal Support Specialists, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1780869297 to Coastal Support Specialists, Inc. on 2008-01-03.
As of what date were the details pertaining to Coastal Support Specialists, Inc. last refreshed?
The information related to the Coastal Support Specialists, Inc., including its address, specialty, and other relevant details, was last updated on 2013-08-16.
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