| E3 Solutions Of Nc | |
|
3608 W Friendly Ave Suite 208 Greensboro NC 27410-4865 | |
| (919) 906-2891 | |
| Not Available |
| Full Name | E3 Solutions Of Nc |
|---|---|
| Speciality | Psychologist |
| Location | 3608 W Friendly Ave, Greensboro, North Carolina |
| Authorized Official Name and Position | Steven Michael Daniels (OWNER) |
| Authorized Official Contact | 9199062891 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E3 Solutions Of Nc 1201 Flanders St Garner NC 27529-4406 Ph: (919) 906-2891 | E3 Solutions Of Nc 3608 W Friendly Ave Suite 208 Greensboro NC 27410-4865 Ph: (919) 906-2891 |
| NPI Number | 1396091120 |
|---|---|
| Provider Enumeration Date | 07/30/2012 |
| Last Update Date | 03/13/2013 |
| Medicare PECOS PAC ID | 8628214863 |
|---|---|
| Medicare Enrollment ID | O20130415000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396091120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 102985 (North Carolina) | Primary |
| Provider Name | Steven Michael Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356697171 PECOS PAC ID: 9537305776 Enrollment ID: I20130415000139 |
| Provider Name | Molly Martucci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750804290 PECOS PAC ID: 1658707609 Enrollment ID: I20200211000567 |
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