| Gates Psychological Services | |
|
1606 Wellington Ave Wilmington NC 28401-7747 | |
| (910) 793-6144 | |
| (910) 793-6140 |
| Full Name | Gates Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1606 Wellington Ave, Wilmington, North Carolina |
| Authorized Official Name and Position | George Nelson Gates (OWNER) |
| Authorized Official Contact | 9107936144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gates Psychological Services 1606 Wellington Ave Wilmington NC 28401-7747 Ph: (910) 793-6144 | Gates Psychological Services 1606 Wellington Ave Wilmington NC 28401-7747 Ph: (910) 793-6144 |
| NPI Number | 1033564349 |
|---|---|
| Provider Enumeration Date | 04/25/2016 |
| Last Update Date | 04/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033564349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2291 (North Carolina) | Primary |
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