| Psychotherapeutic Services | |
|
2260 S Church St Suite 304 Burlington NC 21215 | |
| (336) 513-4229 | |
| (336) 513-4228 |
| Full Name | Psychotherapeutic Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2260 S Church St, Burlington, North Carolina |
| Authorized Official Name and Position | Marcia Lynn Clendaniel (BILLING MANAGER) |
| Authorized Official Contact | 4108102465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapeutic Services 2260 S. Church St Suite 304 Burlington NC 21215 Ph: (410) 778-9114 | Psychotherapeutic Services 2260 S Church St Suite 304 Burlington NC 21215 Ph: (336) 513-4229 |
| NPI Number | 1104969997 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 10/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104969997 | NPI | - | NPPES |
| 8300589I | Other | NC | MULTISYSTEMIC THERAPY |
| 8300589 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (North Carolina) | Primary |
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