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 |