| NPI | 1144528480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY D. JOHNSTON Dean Of College Of Arts And Science 336-346-3192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 2093) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |