| Carolina Psychology Group, Pllc | |
|
100 S Marshall St Ste 1 Winston Salem NC 27101-2843 | |
| (336) 276-1278 | |
| (336) 276-1516 |
| Full Name | Carolina Psychology Group, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 100 S Marshall St Ste 1, Winston Salem, North Carolina |
| Authorized Official Name and Position | Samuel Bemiss Gray (OWNER) |
| Authorized Official Contact | 3362761278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Psychology Group, Pllc 100 S Marshall St Ste 1 Winston Salem NC 27101-2843 Ph: (336) 276-1278 | Carolina Psychology Group, Pllc 100 S Marshall St Ste 1 Winston Salem NC 27101-2843 Ph: (336) 276-1278 |
| NPI Number | 1265997407 |
|---|---|
| Provider Enumeration Date | 02/01/2019 |
| Last Update Date | 04/04/2022 |
| Certification Date | 04/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265997407 | NPI | - | NPPES |
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