Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fayetteville Neuropsychology PLLC

Organization Clinical Neuropsychologist · NPI 1053830315

Fayetteville Neuropsychology PLLC is a Clinical Neuropsychologist in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2931 Breezewood Ave Ste 100
Fayetteville, NC 28303-5281
Phone: (910) 677-0000
Fax: (910) 677-0099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 1853 (NC)

Record details

NPI number1053830315
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Gamble — Office Manager · (910) 677-0000
NPI enumeratedSeptember 18, 2017
Last updated in NPPESJanuary 7, 2021
Certification dateJanuary 7, 2021
Mailing address2931 Breezewood Ave Ste 100, Fayetteville, NC 28303-5281

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