WAKE INTEGRATIVE BEHAVIORAL MEDICINE, PC

Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

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Contact Information

WAKE INTEGRATIVE BEHAVIORAL MEDICINE, PC

1107 SEVEN LAKES DRIVE
SEVEN LAKES, NC 27376

Phone: 414-847-9351
Fax: 888-227-7795
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinical	103TC0700X	62	Psychologist, Clinical

Indicates primary specialty

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NPI Profile & details for WAKE INTEGRATIVE BEHAVIORAL MEDICINE, PC

NPI Number 1295254399

LBN Legal business name WAKE INTEGRATIVE BEHAVIORAL MEDICINE, PC

Authorized official CAROL SMITH - (CEO/PRESIDENT/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/11/2017

Last updated 06/16/2018 - About 8 years ago

Identifiers

NC	License #	3503
NC	Other	3503	MY LICENSE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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WAKE INTEGRATIVE BEHAVIORAL MEDICINE, PC

Contact Information

Specialty

Clinical

NPI Profile & details for WAKE INTEGRATIVE BEHAVIORAL MEDICINE, PC

Reviews for WAKE INTEGRATIVE BEHAVIORAL MEDICINE, PC