| Integrative Psychiatry And Psychotherapy Pllc | |
|
161 Magnolia Square Ct Aberdeen NC 28315-2225 | |
| (910) 757-0714 | |
| Not Available |
| Full Name | Integrative Psychiatry And Psychotherapy Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 161 Magnolia Square Ct, Aberdeen, North Carolina |
| Authorized Official Name and Position | Susan Myers (OWNER) |
| Authorized Official Contact | 9107570714 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Psychiatry And Psychotherapy Pllc 161 Magnolia Square Ct Aberdeen NC 28315-2225 Ph: (910) 757-0714 | Integrative Psychiatry And Psychotherapy Pllc 161 Magnolia Square Ct Aberdeen NC 28315-2225 Ph: (910) 757-0714 |
| NPI Number | 1285089110 |
|---|---|
| Provider Enumeration Date | 04/28/2016 |
| Last Update Date | 03/07/2017 |
| Medicare PECOS PAC ID | 3971891771 |
|---|---|
| Medicare Enrollment ID | O20161011002094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285089110 | NPI | - | NPPES |
| 8961710 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 9501354 (North Carolina) | Primary |
| Provider Name | Susan G Myers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225118870 PECOS PAC ID: 5193991693 Enrollment ID: I20120109000351 |
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