| Psychotherapeutic Services | |
|
2260 S. Church St Suite 303 Burlington NC 27215 | |
| (336) 538-6990 | |
| (336) 538-6991 |
| 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 303 Burlington NC 27215 Ph: (410) 778-9114 | Psychotherapeutic Services 2260 S. Church St Suite 303 Burlington NC 27215 Ph: (336) 538-6990 |
| NPI Number | 1790828598 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 10/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790828598 | NPI | - | NPPES |
| 8300588 | Medicaid | NC | |
| 8300588G | Other | NC | DIAGNOTIC ASSESSMENT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (North Carolina) | Primary |
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