| NPI | 1053754135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MICHELLE WHICHARD Psychologist 919-623-1448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 2897) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |