| Wang Psychological Services Pllc | |
|
596 Executive Pl Ste 102 Fayetteville NC 28305-5189 | |
| (910) 758-1799 | |
| (910) 460-9659 |
| Full Name | Wang Psychological Services Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 596 Executive Pl Ste 102, Fayetteville, North Carolina |
| Authorized Official Name and Position | Mei-chuan Wang (OWNER) |
| Authorized Official Contact | 9107581799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wang Psychological Services Pllc 596 Executive Pl Ste 102 Fayetteville NC 28305-5189 Ph: (910) 758-1799 | Wang Psychological Services Pllc 596 Executive Pl Ste 102 Fayetteville NC 28305-5189 Ph: (910) 758-1799 |
| NPI Number | 1235771312 |
|---|---|
| Provider Enumeration Date | 10/10/2019 |
| Last Update Date | 02/18/2022 |
| Certification Date | 02/18/2022 |
| Medicare PECOS PAC ID | 2668806605 |
|---|---|
| Medicare Enrollment ID | O20191227000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235771312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Pius N Nyutu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295007920 PECOS PAC ID: 0941453740 Enrollment ID: I20130103000154 |
| Provider Name | Mei-chuan Wang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184943003 PECOS PAC ID: 4284865445 Enrollment ID: I20140401001459 |
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