| Psychological Health Services, Pc | |
|
2100 Fairfax Rd Suite 208 Greensboro NC 27407-3009 | |
| (336) 297-1981 | |
| (336) 297-1983 |
| Full Name | Psychological Health Services, Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2100 Fairfax Rd, Greensboro, North Carolina |
| Authorized Official Name and Position | Mary C Nemati (PRESIDENT) |
| Authorized Official Contact | 3362971981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Health Services, Pc 2100 Fairfax Rd Suite 208 Greensboro NC 27407-3009 Ph: (336) 297-1981 | Psychological Health Services, Pc 2100 Fairfax Rd Suite 208 Greensboro NC 27407-3009 Ph: (336) 297-1981 |
| NPI Number | 1336191444 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 05/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336191444 | NPI | - | NPPES |
| E3524 | Other | NC | MEDCOST PROVIDER NUMBER |
| 1336191444 | Medicaid | NC | |
| 6000189 | Medicaid | NC | |
| 045HP | Other | NC | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2642 (North Carolina) | Primary |
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