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Jennifer Cooke Staat, PHD
Psychologist in Wilmington, North Carolina
NPI 1902883119

Jennifer Cooke Staat is a Psychologist based in Wilmington, NC. Jennifer Cooke Staat practices in Wilmington, NC and has the professional credentials of PHD. The NPI Number for Jennifer Cooke Staat is 1902883119 and holds a License No. 2505 (North Carolina).

The current practice location address for Jennifer Cooke Staat is 4608 Cedar Ave, Wilmington, NC and can be reached out via phone at 910-547-3093. You can also correspond with Jennifer Cooke Staat through the mailing address at 4608 CEDAR AVENUE, WILMINGTON, NC - 28403 (mailing address contact number: 910-547-3093).

Location: 4608 Cedar Ave, Wilmington, NC, 28403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902883119
Provider Name
Jennifer Cooke Staat
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
4608 Cedar Ave, Wilmington, NC, 28403
Phone Number
910-547-3093
Fax Number
Provider Enumeration Date
12/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
240133 01 NC COMPSYCH
NCMC034119 01 NY VALUE OPTIONS
046K0 01 NC BLUE CROSS BLUE SHIELD
D6590 01 NC MEDCOST
6000577 05 NC
institution
Provider Business Practice Location Address Details
Address
4608 Cedar Ave
City
Wilmington
State
North Carolina
Zip
28403-4419
Phone Number
910-547-3093
Fax Number
person
Provider Business Mailing Address Details
Address
4608 Cedar Ave
City
Wilmington
State
North Carolina
Zip
28403-4419
Phone Number
910-547-3093
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
2505 (North Carolina)
Definition
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 adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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