| Gulf Coast Neuropsychology, Llc | |
|
2650 Bahia Vista St Suite 201 Sarasota FL 34239-2635 | |
| (941) 993-3074 | |
| Not Available |
| Full Name | Gulf Coast Neuropsychology, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2650 Bahia Vista St, Sarasota, Florida |
| Authorized Official Name and Position | Shaun Kelly O'neal (OWNER) |
| Authorized Official Contact | 9419933074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Neuropsychology, Llc 2650 Bahia Vista St Suite 201 Sarasota FL 34239-2635 Ph: () - | Gulf Coast Neuropsychology, Llc 2650 Bahia Vista St Suite 201 Sarasota FL 34239-2635 Ph: (941) 993-3074 |
| NPI Number | 1639516750 |
|---|---|
| Provider Enumeration Date | 05/30/2013 |
| Last Update Date | 05/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639516750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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