| NPI | 1417115429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA S DICKINSON Owner 252-447-7764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 2670) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NC 2670) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2014-06-13 |