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