Psychotherapeutic Services | |
2260 S Church St Suite 304 Burlinton NC 21215 | |
(336) 513-4229 | |
(336) 513-4228 |
Full Name | Psychotherapeutic Services |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2260 S Church St, Burlinton, 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 |
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Psychotherapeutic Services 2260 S. Church St Suite 304 Burlington NC 21215 Ph: (410) 778-9114 | Psychotherapeutic Services 2260 S Church St Suite 304 Burlinton NC 21215 Ph: (336) 513-4229 |
NPI Number | 1710020516 |
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Provider Enumeration Date | 02/14/2007 |
Last Update Date | 10/18/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710020516 | NPI | - | NPPES |
8300589 | Medicaid | NC | |
8300589H | Other | NC | INTENSIVE IN HOME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (North Carolina) | Primary |