| The Clinical Evaluation And Resource Center, Pllc | |
|
943 W Andrews Ave Ste P Henderson NC 27536-2587 | |
| (252) 430-1255 | |
| Not Available |
| Full Name | The Clinical Evaluation And Resource Center, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 943 W Andrews Ave Ste P, Henderson, North Carolina |
| Authorized Official Name and Position | Camilla E. Rogers (DIRECTOR) |
| Authorized Official Contact | 2524301255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Clinical Evaluation And Resource Center, Pllc 943 W Andrews Ave Ste P Henderson NC 27536-2587 Ph: (252) 430-1255 | The Clinical Evaluation And Resource Center, Pllc 943 W Andrews Ave Ste P Henderson NC 27536-2587 Ph: (252) 430-1255 |
| NPI Number | 1043414980 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043414980 | NPI | - | NPPES |
| 6005867 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1956 (North Carolina) | Primary |
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