| NPI | 1700228673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI FITZGERALD LENOX Clinical Psychologist 919-271-4099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 3116) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: NC 3116) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NC 3116) | |
| 103TF0000X Psychologist Family (Licence: NC 3116) | |
| 103TH0100X Psychologist Health Service (Licence: NC 3116) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: NC 3116) | |
| 106H00000X Marriage & Family Therapist (Licence: NC 3116) | |
| Enumeration Date | 2013-07-21 |
| Last Update Date | 2013-07-21 |