| Psychotherapeutic Services, Inc | |
|
1990 Allen Rd Ste F Greenville NC 27834-0058 | |
| (252) 756-1005 | |
| (252) 756-1085 |
| Full Name | Psychotherapeutic Services, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1990 Allen Rd Ste F, Greenville, North Carolina |
| Authorized Official Name and Position | Randall Cooper (CFO) |
| Authorized Official Contact | 4107789114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapeutic Services, Inc Po Box 690 Chestertown MD 21620-0690 Ph: (410) 778-9114 | Psychotherapeutic Services, Inc 1990 Allen Rd Ste F Greenville NC 27834-0058 Ph: (252) 756-1005 |
| NPI Number | 1417090218 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417090218 | NPI | - | NPPES |
| 8301181 | Medicaid | NC | |
| 8301181G | Other | NC | DIAGNOSTIC ASSESSMENT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (North Carolina) | Primary |
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