# NORTH CAROLINA NEUROPSYCHIATRY, P.A.

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

## Provider details

- **NPI number:** 1265403042
- **Authorized official:** TIFFANY CLARK (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (919) 933-2000

## Contact information

- **Practice address:** 1829 E FRANKLIN ST STE 400, CHAPEL HILL, NC 27514-5865
- **Practice address phone:** (919) 933-2000
- **Practice address fax:** (984) 235-1617
- **Mailing address:** 1829 E FRANKLIN ST STE 400, CHAPEL HILL, NC 27514-5865
- **Mailing address phone:** (919) 933-2000
- **Mailing address fax:** (984) 235-1617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103G00000X | Clinical Neuropsychologist | — | NULL | — |
| 103G00000X | Clinical Neuropsychologist | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2006
- **Last updated:** 02/23/2023