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Psychological Medicine Clinic Pllc
Specialist in Wilson, North Carolina
NPI 1972644219

Psychological Medicine Clinic Pllc is a Specialist based in Wilson, NC. Psychological Medicine Clinic Pllc practices in Wilson, NC. The NPI Number for Psychological Medicine Clinic Pllc is 1972644219 and holds a License No. (North Carolina).

The current practice location address for Psychological Medicine Clinic Pllc is 1810 Westwood Ave W, Wilson, NC and can be reached out via phone at 252-291-6200 and via fax at 252-291-2147.

Location: 1810 Westwood Ave W, Wilson, NC, 27893-2143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972644219
Provider Name
Psychological Medicine Clinic Pllc
Credential
Provider Entity Type
Organization
Address
1810 Westwood Ave W, Wilson, NC, 27893-2143
Phone Number
252-291-6200
Fax Number
252-291-2147
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2157403B 01 NC MEDICARE P-TAN
8985003 05 NC
institution
Provider Business Practice Location Address Details
Address
1810 Westwood Ave W
City
Wilson
State
North Carolina
Zip
27893-2143
Phone Number
252-291-6200
Fax Number
252-291-2147
person
Provider Business Mailing Address Details
Address
1810 Westwood Ave W
City
Wilson
State
North Carolina
Zip
27893-2143
Phone Number
252-291-6200
Fax Number
252-291-2147
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
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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