| Psychological Mobile Services | |
|
105 S Ellington St Clayton NC 27520-2305 | |
| (252) 291-0735 | |
| Not Available |
| Full Name | Psychological Mobile Services |
|---|---|
| Speciality | Psychologist |
| Location | 105 S Ellington St, Clayton, North Carolina |
| Authorized Official Name and Position | Steven Hannant (OWNER) |
| Authorized Official Contact | 9192528896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Mobile Services 779 True Vine Rd Ne Pikeville NC 27863-8800 Ph: (919) 252-4816 | Psychological Mobile Services 105 S Ellington St Clayton NC 27520-2305 Ph: (252) 291-0735 |
| NPI Number | 1689098774 |
|---|---|
| Provider Enumeration Date | 02/10/2014 |
| Last Update Date | 06/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689098774 | NPI | - | NPPES |
| 6008852 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3681 (North Carolina) | Primary |
| 251S00000X | Community/behavioral Health | 0389 (North Carolina) | Secondary |
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