| NPI | 1083859540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE DEAN Office Manager 919-928-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NC 2058) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NC 3039) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2008-12-11 |