| Center For Autism & Psychological Services, Pllc | |
|
300 Northgate Park Dr Winston Salem NC 27106-3482 | |
| (336) 306-5644 | |
| (336) 499-6049 |
| Full Name | Center For Autism & Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 300 Northgate Park Dr, Winston Salem, North Carolina |
| Authorized Official Name and Position | Kristie Thompson (PSYCHOLOGIST/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3363065644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Autism & Psychological Services, Pllc 300 Northgate Park Dr Winston Salem NC 27106-3482 Ph: (336) 306-5644 | Center For Autism & Psychological Services, Pllc 300 Northgate Park Dr Winston Salem NC 27106-3482 Ph: (336) 306-5644 |
| NPI Number | 1578721676 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578721676 | NPI | - | NPPES |
| 8302082 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 2602 (North Carolina) | Primary |
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