| NPI | 1750331310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ANN P TAGGART Owner Psychologist 252-353-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 0224) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-08-22 |