| Foundation Psychological Services, P.a. | |
|
410 Mills Gap Rd Arden NC 28704 | |
| (828) 654-0111 | |
| (828) 654-0111 |
| Full Name | Foundation Psychological Services, P.a. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 410 Mills Gap Rd, Arden, North Carolina |
| Authorized Official Name and Position | Roger A Wallace (OWNER) |
| Authorized Official Contact | 8286540111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundation Psychological Services, P.a. Po Box 127 Arden NC 28704-0127 Ph: (828) 654-0111 | Foundation Psychological Services, P.a. 410 Mills Gap Rd Arden NC 28704 Ph: (828) 654-0111 |
| NPI Number | 1134319866 |
|---|---|
| Provider Enumeration Date | 07/30/2007 |
| Last Update Date | 07/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134319866 | NPI | - | NPPES |
| 6005336 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0203 (North Carolina) | Primary |
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