| Psych Test Pllc | |
|
5170 Nc Highway 105 S Ste 1 Banner Elk NC 28604-8734 | |
| (336) 408-0016 | |
| (828) 898-2451 |
| Full Name | Psych Test Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 5170 Nc Highway 105 S Ste 1, Banner Elk, North Carolina |
| Authorized Official Name and Position | Daniel W Pierce (ADMINISTRATOR) |
| Authorized Official Contact | 3364080016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych Test Pllc 204 Fernham Pl Lewisville NC 27023-9516 Ph: (336) 945-4721 | Psych Test Pllc 5170 Nc Highway 105 S Ste 1 Banner Elk NC 28604-8734 Ph: (336) 408-0016 |
| NPI Number | 1164953972 |
|---|---|
| Provider Enumeration Date | 03/23/2017 |
| Last Update Date | 08/23/2021 |
| Certification Date | 08/23/2021 |
| Medicare PECOS PAC ID | 7618249210 |
|---|---|
| Medicare Enrollment ID | O20170816003505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164953972 | NPI | - | NPPES |
| 6001281 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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