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Psychotherapeutic Services

Psychotherapeutic Services is a health care provider in Burlington, NC. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 2260 S Church St, Suite 304, Burlington, NC 21215, US
Practice Location Phone336-513-4229
Practice Location Fax336-513-4228
NPI ?1720121528
Entity TypeOrganization
Enumeration Date ? Feb 14, 2007
Last Update Date ? Oct 20, 2016
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Psychotherapeutic Services

SpecialtySpecializationLicenseLicense State
Psychiatry & NeurologyPsychiatry North Carolina

legacy-id-icon Legacy Provider IDs of Psychotherapeutic Services

Provider IdIssuer StateIssuer TypeIssuer
8300589GNorth CarolinaOtherDIAGNOSTIC ASSESSMENT
8300589North CarolinaMedicaid

official-icon Authorized Official of Psychotherapeutic Services

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Psychotherapeutic Services's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Marcia Lynn Clendaniel
Authorized Official Title/PositionBILLING MANAGER
Authorized Official Phone Number410-810-2465