Counseling And Psychology Resources | |
321 7th St Ne Suite A Hickory NC 28601-5113 | |
(828) 324-6397 | |
(828) 324-2320 |
Full Name | Counseling And Psychology Resources |
---|---|
Speciality | Psychologist |
Location | 321 7th St Ne, Hickory, North Carolina |
Authorized Official Name and Position | Gary S Indenbaum (OWNER) |
Authorized Official Contact | 8283246397 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Counseling And Psychology Resources 321 7th St Ne Suite A Hickory NC 28601-5113 Ph: (828) 324-6397 | Counseling And Psychology Resources 321 7th St Ne Suite A Hickory NC 28601-5113 Ph: (828) 324-6397 |
NPI Number | 1194846030 |
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Provider Enumeration Date | 04/02/2007 |
Last Update Date | 08/14/2007 |
Medicare PECOS PAC ID | 7416962105 |
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Medicare Enrollment ID | O20060216000403 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194846030 | NPI | - | NPPES |
6000307 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1082 (North Carolina) | Primary |
Provider Name | Gary S Indenbaum |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1083711816 PECOS PAC ID: 6406861194 Enrollment ID: I20060217000033 |
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