| NPI | 1023037298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANNE HARTYE President, Psychologist 919-783-5431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3188) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 2211) |
| 103TC0700X Psychologist, Clinical (Licence: NC 850) | |
| 103TC0700X Psychologist, Clinical (Licence: NC 1285) | |
| 103TC0700X Psychologist, Clinical (Licence: NC 2695) | |
| 103TC0700X Psychologist, Clinical (Licence: NC 2885) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |