NPI | 1235168170 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHY MATTHEWS Owner 919-841-1444 |
Organization Subpart ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 1922) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 1922) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 1922) | |
103TF0000X Psychologist, Family (Licence: NC 1922) | |
103T00000X Psychologist (Licence: NC 1922) | |
103TS0200X Psychologist, School (Licence: NC 1922) | |
Enumeration Date | 2006-07-02 |
Last Update Date | 2020-08-22 |