NPI | 1700264058 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES STEWART Executive Director 828-284-4224 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 2152) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NC 1849) |
103T00000X Psychologist | |
Enumeration Date | 2015-05-07 |
Last Update Date | 2020-12-16 |