| NPI | 1205216181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY C COTTLE Psychologist 919-301-8513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3061) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: NC 3061) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |