| Ecu Pass Clinic | |
|
311 Rawl Building , East 5th St. East Carolina University Greenville NC 27858-4353 | |
| (252) 737-4180 | |
| (252) 737-4166 |
| Full Name | Ecu Pass Clinic |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 311 Rawl Building , East 5th St., Greenville, North Carolina |
| Authorized Official Name and Position | Tony Cellucci (CLINIC DIRECTOR) |
| Authorized Official Contact | 2527374179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ecu Pass Clinic 311 Rawl Building, Department Of Psychology East Carolina University Greenville NC 27858-4353 Ph: (252) 737-4180 | Ecu Pass Clinic 311 Rawl Building , East 5th St. East Carolina University Greenville NC 27858-4353 Ph: (252) 737-4180 |
| NPI Number | 1720386683 |
|---|---|
| Provider Enumeration Date | 03/02/2011 |
| Last Update Date | 03/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720386683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1018 (North Carolina) | Primary |
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