NPI | 1023075207 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY SANDRA STORY Licensed Psychologist 919-844-8711 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 2659) |
Enumeration Date | 2006-04-29 |
Last Update Date | 2008-02-22 |