Organization
UNCG PSYCHOLOGY CLINIC
Active
Parent organization
THE UNIVERSITY OF NORTH CAROLINA AT GREENSBORO
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE UNIVERSITY OF NORTH CAROLINA AT GREENSBORO
Authorized official
DR. ILANA STARR BERMAN PHD (CLINIC DIRECTOR)
(336) 256-0065
Entity
Organization
Contact information
Practice address
1100 W MARKET ST, 3RD FLOOR, GREENSBORO, NC 27403-1830
(336) 334-5662
(336) 334-5754
Mailing address
PO BOX 26170, GREENSBORO, NC 27402-6170
(336) 334-5662
(336) 334-5754
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903678
—
NC
05
—
6005278
—
NC
Enumeration date
11/07/2006
Last updated
07/22/2024
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