| NPI | 1487997748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY DAVID SPRIGGS Psychologist 336-293-7406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4105) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2015-01928) |
| 101YP2500X Counselor, Professional (Licence: NC 925) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C007838) | |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2018-08-30 |