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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DAVID WILLIAM HAGEDORN, PH.D.

Active Sole Proprietor

DR. DAVID WILLIAM HAGEDORN, PH.D. is a Clinical Neuropsychologist healthcare provider located in CAMP LEJEUNE, North Carolina. NPI 1992906747 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · CAMP LEJEUNE, NC

Registration Details

NPI Number
1992906747
Provider Type
Individual
Gender
Male
NPI Issued
May 30, 2007 (19.165241099008 yrs)
Last Updated
May 19, 2011
Licenses
1117 (SC)
PY00003898 (WA)
32594 (TX)
3745 (NC)
Sole Proprietor
Yes

Practice Information

Address
100 BREWSTER BLVD
NAVAL HOSPITAL - FAMILY MEDICINE
CAMP LEJEUNE, NC, 28547
Browse NC providers · Browse ZIP 28547
Phone
9104508805
Fax
9103531763
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Psychologist
Additional Specialty
Child, Clinical Psychologist
Additional Specialty
Clinical Neuropsychologist

Other Clinical Neuropsychologist Providers in CAMP LEJEUNE, NC

Name Credential NPI
DR. MARGARET ANNE ACKLEY PH.D. 1720089295
ROBIN HENDERSON-LOGAN PHD 1366557878
JESSICA FORDE PHD 1528307386
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.