Psyclinc

NPI 1235538901 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1235538901
Enumeration Date 08/19/2014
Last Updated 08/19/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MARY RACHEL REBECCA MARY
Position PSYCHOLOGIST
Phone (704) 530-0850
Fax
Practice Location
518 S ASPEN ST
LINCOLNTON NC, 28092-2735, US
Phone (704) 530-0850
Fax
Business Location
518 S ASPEN ST
LINCOLNTON NC, 28092-2735, US
Phone
Fax
Toxanomy
Taxonomy Code 251S00000X
License State North Carolina
License Number 4642
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According to our database, Psyclinc NPI is 1235538901, taxonomy code is 251S00000X and license number is 4642, license state is located at North Carolina. Psyclinc physically located at 518 S Aspen St, Lincolnton NC, 28092-2735. NPI Number 1033115704 has the healthcare provider type.

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1235538901 NPI number is provided on an as is basis without warranty of any kind. 1235538901 is maintained by the National Plan & Provider Enumeration System. The contents of Psyclinc are for informational purposes only.