| NPI | 1669724365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD SULLIVAN Psychologist/Owner 704-813-4033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NC 102806) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: NC 102806) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 102806) | |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |