| NPI | 1205083532 |
|---|---|
| Doing Business As | NORTHSTAR PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER COOKE STAAT Clinical Psychologist 910-547-3093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 2505) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |