DR. MARYANNE SARAH EDMUNDSON (NPI# 1609393628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609393628 |
| Entity Type | Individual |
| Full Name | DR. MARYANNE SARAH EDMUNDSON |
| Credential | PHD |
| Practice Address |
45 Aviemore Dr Pinehurst NC 28374-9797 |
| Practice Telephone | (910) 420-8041 |
| Practice Fax Number | 9104208071 |
| Mailing Telephone | 9104208041 |
| Mailing Fax Number | 9104208071 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 5217 | NC | Behavioral Health & Social Service Providers |
| Street Address |
45 AVIEMORE DR |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374-9797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881967222 | Taeh Allison Ward | Clinical Neuropsychologist | 45 Aviemore Dr, Pinehurst, NC 28374-9797 | 2012-02-15 |
| 1417360629 | Anessa Caton | Social Worker | 45 Aviemore Dr, Pinehurst, NC 28374-9797 | 2014-06-05 |
| 1588099618 | Pinehurst Neuropsychology, Pllc | Psychologist | 45 Aviemore Dr, Pinehurst, NC 28374-9797 | 2013-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
| Find all providers in zip 28374 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881967222 | Taeh Allison Ward | Clinical Neuropsychologist | 45 Aviemore Dr, Pinehurst, NC 28374-9797 | 2012-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051458 | The Family Advocates | Clinical Neuropsychologist | 1201 Jade Glen Dr, Charlotte, NC 28262-1621 | 2020-10-20 |
| 1780118687 | Thomas Farrer | Clinical Neuropsychologist | 153 Carden Pl Apt C, Mebane, NC 27302-6080 | 2017-04-18 |
| 1891248795 | Anna Elizabeth Craig | Clinical Neuropsychologist | 20 W Colony Pl Ste 230, Durham, NC 27705-5577 | 2016-07-27 |
| 1063890614 | Michelle Jones Cueva | Clinical Neuropsychologist | 2218 Nelson Hwy, Suite 2, Chapel Hill, NC 27517-8923 | 2015-05-15 |
| 1992100465 | Griffin Pollock Sutton | Clinical Neuropsychologist | 19 S Hampstead Village Dr, Hampstead, NC 28443-3934 | 2014-10-27 |
| 1861818874 | Dr. Angela Houser-betti, Psyd, Pllc | Clinical Neuropsychologist | 4425 Randolph Rd Ste 208, Charlotte, NC 28211-2324 | 2014-03-14 |
| 1629499819 | Bay Area Psychology Associates | Clinical Neuropsychologist | 302 Woodberry Pl, Jacksonville, NC 28540-4264 | 2013-12-14 |
| 1790117679 | Kimberly Leon | Clinical Neuropsychologist | 1001 Blythe Blvd Ste 200d, Charlotte, NC 28203-6215 | 2013-08-02 |
| 1811260730 | Silber Psychological Services P.a. | Clinical Neuropsychologist | 1340 Se Maynard Rd, Suite 201, Cary, NC 27511-3632 | 2012-02-23 |
| 1871887562 | Karen Dorothy Sullivan | Clinical Neuropsychologist | 101 Manning Dr Cb 7200, Chapel Hill, NC 27599-4817 | 2011-05-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.