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Contact Information

CORINNE SECREST, PhD
4 SOURWOOD DR
MILLS RIVER, NC28759
 Phone: 704-608-2142
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CORINNE SECREST · (Female)

NPI Number 1710120738
Status Active
Credentials PhD
Entity Individual
Enumeration date 04/07/2009
Last updated 12/29/2022 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 102804
  • NC License # 3930
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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