DR. DAVID WILLIAM HAGEDORN PH.D.
NPI 1992906747
Clinical Neuropsychologist in Camp Lejeune, NC

Q: What is David Hagedorn's NPI number?

The NPI number for David Hagedorn is 1992906747. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Q: What is David Hagedorn's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for David Hagedorn was last updated on May 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 30, 2007

100 BREWSTER BLVD, NAVAL HOSPITAL - FAMILY MEDICINE, CAMP LEJEUNE, NC 28547(910) 450-8805(910) 353-1763 Get Directions Write a Review

NPPES record last updated: May 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. David William Hagedorn Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID WILLIAM HAGEDORN PH.D. (NPI 1992906747) is an individual clinical neuropsychologist in Camp Lejeune, North Carolina, licensed in North Carolina (3745) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1992906747

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. DAVID WILLIAM HAGEDORNCredential: PH.D.

Location Address100 BREWSTER BLVD, NAVAL HOSPITAL - FAMILY MEDICINECamp Lejeune, NC 28547

Mailing Address200 Valencia Drive, Suite 109Jacksonville, NC 28546-7807 · (910) 353-1760 · Fax (910) 353-1763

Phone(910) 450-8805

Fax(910) 353-1763

Sole ProprietorYes

Enumeration DateMay 30, 2007

Last NPPES UpdateMay 19, 2011

✔ NPI 1992906747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in NC · 3745

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 1117 (SC), PY00003898 (WA)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 32594 (TX)

100 BREWSTER BLVD, Camp Lejeune, NC 28547

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JUSTIN THOMAS DAUGHTRY D.O.

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