Individual provider · Type 1 NPI

Jennifer Cooke Staat, PhD

Psychologist · Wilmington, NC

NPI number 1902883119 Active

Practice location

4608 Cedar Ave, Suite 106
Wilmington, NC 28403-4419

Mailing address

4608 Cedar Avenue, Suite 106
Wilmington, NC 28403

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X2505 (NC)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1902883119

Jennifer Cooke Staat, PhD's National Provider Identifier is 1902883119, issued on Dec 29, 2005. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Wilmington, NC. The record was last updated on Oct 30, 2007.