| NPI | 1215440938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA D'ANGELO Licensed Psychologist 252-725-1713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4954) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |