| NPI | 1124265533 |
|---|---|
| Doing Business As | WACCAMAW PYSCHOLOGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JUDSON L DUKES,JR Owner 910-642-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 1810) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: NC 1810) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NC 1810) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: NC 1810) | |
| 103TS0200X Psychologist, School (Licence: NC 1810) | |
| 101Y00000X Counselor (Licence: NC 1810) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1810) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 1810) | |
| 101YP2500X Counselor, Professional (Licence: NC 1810) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: NC 1810) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 1810) | |
| 103TC0700X Psychologist, Clinical (Licence: NC 1810) | |
| 103TC1900X Psychologist, Counseling (Licence: NC 1810) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 1810) | |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |