| NPI | 1700929635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT AIELLO Psychologist 919-676-1497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 1427) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 1427) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2011-10-27 |