| Fact Specialized Services, Inc. | |
|
127 Center St Jacksonville NC 28546-5708 | |
| (910) 346-3744 | |
| (910) 346-5344 |
| Full Name | Fact Specialized Services, Inc. |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 127 Center St, Jacksonville, North Carolina |
| Authorized Official Name and Position | Lorna Kathleen Aschbrenner (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9103463744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fact Specialized Services, Inc. 127 Center St Jacksonville NC 28546-5708 Ph: (910) 346-3744 | Fact Specialized Services, Inc. 127 Center St Jacksonville NC 28546-5708 Ph: (910) 346-3744 |
| NPI Number | 1740597608 |
|---|---|
| Provider Enumeration Date | 09/13/2010 |
| Last Update Date | 09/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740597608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 2112 (North Carolina) | Primary |
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