| NPI | 1578734018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE CLODFELTER Owner 336-659-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 1575) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2010-09-02 |