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Southeastern Psychological Services
Specialist in Fairmont, North Carolina
NPI 1952301079

Southeastern Psychological Services is a Specialist based in Fairmont, NC. Southeastern Psychological Services practices in Fairmont, NC. The NPI Number for Southeastern Psychological Services is 1952301079 and holds a License No. (North Carolina).

The current practice location address for Southeastern Psychological Services is 302 N Main St, Fairmont, NC and can be reached out via phone at 910-628-6718 and via fax at 910-628-6719.

Location: 302 N Main St, Fairmont, NC, 28340-1730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952301079
Provider Name
Southeastern Psychological Services
Credential
Provider Entity Type
Organization
Address
302 N Main St, Fairmont, NC, 28340-1730
Phone Number
910-628-6718
Fax Number
910-628-6719
Provider Enumeration Date
07/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0384M 01 NC BCBS
6005435 05 NC
1318H 01 NC BCBS
institution
Provider Business Practice Location Address Details
Address
302 N Main St
City
Fairmont
State
North Carolina
Zip
28340-1730
Phone Number
910-628-6718
Fax Number
910-628-6719
person
Provider Business Mailing Address Details
Address
302 N Main St
City
Fairmont
State
North Carolina
Zip
28340-1730
Phone Number
910-628-6718
Fax Number
910-628-6719
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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