Evaluation And Education Services, Llc | |
2910 Briarcliffe Rd Winston Salem NC 27106 | |
(336) 245-8161 | |
(336) 773-0332 |
Full Name | Evaluation And Education Services, Llc |
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Speciality | Psychologist |
Location | 2910 Briarcliffe Rd, Winston Salem, North Carolina |
Authorized Official Name and Position | Andrew P. Irwin-smiler (SOLE PROPRIETOR) |
Authorized Official Contact | 3362458161 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Evaluation And Education Services, Llc 2910 Briarcliffe Rd Winston Salem NC 27106-3176 Ph: (336) 245-8161 | Evaluation And Education Services, Llc 2910 Briarcliffe Rd Winston Salem NC 27106 Ph: (336) 245-8161 |
NPI Number | 1952799603 |
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Provider Enumeration Date | 01/05/2015 |
Last Update Date | 08/21/2018 |
Medicare PECOS PAC ID | 5890010573 |
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Medicare Enrollment ID | O20150223000562 |
Identifier | Type | State | Issuer |
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1952799603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | S2165 (North Carolina) | Secondary |
103T00000X | Psychologist | LPA4067 (North Carolina) | Primary |
Provider Name | Andrew P Irwin Smiler |
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Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1740614064 PECOS PAC ID: 6709101496 Enrollment ID: I20150223000646 |
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