Insight Psychological Assessment | |
200 Doctors Dr Ste M Jacksonville NC 28546-6308 | |
(910) 378-2678 | |
Not Available |
Full Name | Insight Psychological Assessment |
---|---|
Speciality | Clinic/Center |
Location | 200 Doctors Dr Ste M, Jacksonville, North Carolina |
Authorized Official Name and Position | Carissa Marsh (OWNER/PSYCHOLOGIST) |
Authorized Official Contact | 9103782678 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Insight Psychological Assessment Po Box 388 Maysville NC 28555-0388 Ph: (910) 934-1017 | Insight Psychological Assessment 200 Doctors Dr Ste M Jacksonville NC 28546-6308 Ph: (910) 378-2678 |
NPI Number | 1144983438 |
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Provider Enumeration Date | 10/14/2021 |
Last Update Date | 03/21/2022 |
Certification Date | 03/21/2022 |
Medicare PECOS PAC ID | 6406245620 |
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Medicare Enrollment ID | O20211110000038 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144983438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Carissa J Marsh |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1093268633 PECOS PAC ID: 2062700909 Enrollment ID: I20161010001712 |
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