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Organization
NORTH CAROLINA NEUROPSYCHIATRY, P.A.
Active
Organization
NORTH CAROLINA NEUROPSYCHIATRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY CLARK (CLINIC ADMINISTRATOR)
(919) 933-2000
Entity
Organization
Contact information
Practice address
1829 E FRANKLIN ST STE 400, CHAPEL HILL, NC 27514-5865
(919) 933-2000
(984) 235-1617
Mailing address
1829 E FRANKLIN ST STE 400, CHAPEL HILL, NC 27514-5865
(919) 933-2000
(984) 235-1617
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
NULL
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/30/2006
Last updated
02/23/2023
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