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Contact Information

PSYCHOTHERAPEUTIC SERVICES
2260 S CHURCH ST
SUITE 303
BURLINGTON, NC27215
 Phone: 410-778-9114
 Fax: 410-778-7988
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PSYCHOTHERAPEUTIC SERVICES

NPI # 1306085683
LBN Legal business name PSYCHOTHERAPEUTIC SERVICES
Authorized official MARCIA CLENDANIEL - (BILLLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2009
Last updated 10/18/2016 - About 10 years ago
Identifiers n/a
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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