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

Individual provider Psychologist · NPI 1902883119

Jennifer Cooke Staat, PHD is a Psychologist in Wilmington, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2005
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4608 Cedar Ave Ste 106
Wilmington, NC 28403-4419
Phone: (910) 547-3093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2505 (NC)

Record details

NPI number1902883119
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 29, 2005
Last updated in NPPESOctober 30, 2007

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