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Alpha Community Support Service Llc
Prescribing (Medical) Psychologist in Rockingham, North Carolina
NPI 1518282201

Alpha Community Support Service Llc is a Prescribing (Medical) Psychologist based in Rockingham, NC and is specialized in Prescribing (Medical). Alpha Community Support Service Llc practices in Rockingham, NC. The NPI Number for Alpha Community Support Service Llc is 1518282201 and holds a License No. 33577 (North Carolina).

The current practice location address for Alpha Community Support Service Llc is 114 S Hancock St, Rockingham, NC and can be reached out via phone at 910-410-0459 and via fax at 910-410-0653.

Location: 114 S Hancock St, Rockingham, NC, 28379-3630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518282201
Provider Name
Alpha Community Support Service Llc
Credential
Provider Entity Type
Organization
Address
114 S Hancock St, Rockingham, NC, 28379-3630
Phone Number
910-410-0459
Fax Number
910-410-0653
Provider Enumeration Date
04/06/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6006930 05 NC
8302367 05 NC
institution
Provider Business Practice Location Address Details
Address
114 S Hancock St
City
Rockingham
State
North Carolina
Zip
28379-3630
Phone Number
910-410-0459
Fax Number
910-410-0653
person
Provider Business Mailing Address Details
Address
114 S Hancock St
City
Rockingham
State
North Carolina
Zip
28379-3630
Phone Number
910-410-0459
Fax Number
910-410-0653
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
33577 (North Carolina)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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