| 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 |