| Rebecca Reavis Phd | |
|
518 S Aspen St Lincolnton NC 28092-2735 | |
| (704) 530-0850 | |
| (704) 735-9810 |
| Full Name | Rebecca Reavis Phd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 518 S Aspen St, Lincolnton, North Carolina |
| Authorized Official Name and Position | Mary Reavis (OWNER OF BUSINESS) |
| Authorized Official Contact | 7045300850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Reavis Phd 518 S Aspen St Lincolnton NC 28092-2735 Ph: (704) 530-0850 | Rebecca Reavis Phd 518 S Aspen St Lincolnton NC 28092-2735 Ph: (704) 530-0850 |
| NPI Number | 1356517536 |
|---|---|
| Provider Enumeration Date | 05/07/2008 |
| Last Update Date | 01/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356517536 | NPI | - | NPPES |
| 3163 | Other | NC | LICENSE |
| 6000865 | Medicaid | NC | |
| 6006696 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3163 (North Carolina) | Primary |
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