Wake Integrative Behavioral Medicine, Pc | |
1107 Seven Lakes Drive Seven Lakes NC 27376 | |
(414) 847-9351 | |
(888) 227-7795 |
Full Name | Wake Integrative Behavioral Medicine, Pc |
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Speciality | Psychologist - Clinical |
Location | 1107 Seven Lakes Drive, Seven Lakes, North Carolina |
Authorized Official Name and Position | Carol Yvonne Smith (CEO/PRESIDENT/OWNER) |
Authorized Official Contact | 4148479351 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wake Integrative Behavioral Medicine, Pc 80 Blake Blvd Unit 3038 Pinehurst NC 28374-9599 Ph: (414) 847-9351 | Wake Integrative Behavioral Medicine, Pc 1107 Seven Lakes Drive Seven Lakes NC 27376 Ph: (414) 847-9351 |
NPI Number | 1295254399 |
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Provider Enumeration Date | 09/11/2017 |
Last Update Date | 06/16/2018 |
Identifier | Type | State | Issuer |
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1295254399 | NPI | - | NPPES |
3503 | Other | NC | MY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 3503 (North Carolina) | Primary |
Smith Psychological Services, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 Seven Lakes Drive, Seven Lakes, NC 27376 Phone: 910-778-2427 Fax: 910-673-5775 |