| A4psychology, Pllc | |
|
596 Executive Pl Ste 201 Fayetteville NC 28305-5189 | |
| (910) 491-8545 | |
| (910) 491-0069 |
| Full Name | A4psychology, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 596 Executive Pl Ste 201, Fayetteville, North Carolina |
| Authorized Official Name and Position | Geertina A Ellis (MANAGING OWNER) |
| Authorized Official Contact | 9105783451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A4psychology, Pllc 596 Executive Pl Ste 201 Fayetteville NC 28305-5189 Ph: (910) 491-8545 | A4psychology, Pllc 596 Executive Pl Ste 201 Fayetteville NC 28305-5189 Ph: (910) 491-8545 |
| NPI Number | 1952939811 |
|---|---|
| Provider Enumeration Date | 03/27/2020 |
| Last Update Date | 03/27/2020 |
| Certification Date | 03/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952939811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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