# PROSPECT BEHAVIORAL PEDIATRICS AND PSYCHIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215301569
- **Authorized official:** DR. PAUL TROMBLEY MD (ORGANIZER)
- **Authorized official phone:** (505) 440-8782

## Contact information

- **Practice address:** 600 JULIAN LN STE 640, ARDEN, NC 28704-7812
- **Practice address phone:** (828) 552-3504
- **Practice address fax:** (828) 552-3505
- **Mailing address:** 600 JULIAN LN STE 640, ARDEN, NC 28704-7812
- **Mailing address phone:** (828) 552-3504
- **Mailing address fax:** (828) 552-3505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | 214016 | NC | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 214016 | NC | Yes |

## Other

- **Enumeration date:** 11/24/2015
- **Last updated:** 10/17/2018