| NPI | 1528353729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HAGEDORN President/Owner 910-353-1760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NC 3745) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |