| NPI | 1528239183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI M. ZORDICH Licensed Psychologist 919-380-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3366) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: NC 3366) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: NC 3366) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 3366) | |
| 103TC1900X Psychologist, Counseling (Licence: NC 3366) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 3366) | |
| 103TF0000X Psychologist, Family (Licence: NC 3366) | |
| 103TF0200X Psychologist, Forensic (Licence: NC 3366) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NC 3366) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NC 3366) | |
| 103TS0200X Psychologist, School (Licence: NC 3366) | |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2011-01-21 |