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157 Medical Park Dr # A Brevard NC 28712-4189 | |
| (828) 884-3440 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 157 Medical Park Dr # A, Brevard, North Carolina |
| Authorized Official Name and Position | Sarah Fentress Lewis (PRESIDENT) |
| Authorized Official Contact | 8282260314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
680 Hart Rd Pisgah Forest NC 28768-8637 Ph: (828) 226-0314 | 157 Medical Park Dr # A Brevard NC 28712-4189 Ph: (828) 884-3440 |
| NPI Number | 1851126494 |
|---|---|
| Provider Enumeration Date | 09/04/2024 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851126494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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