Organization
THE CLINICAL EVALUATION AND RESOURCE CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAMILLA E. ROGERS LPA (DIRECTOR)
(252) 430-1255
Entity
Organization
Contact information
Practice address
943 W ANDREWS AVE STE P, HENDERSON, NC 27536-2587
(252) 430-1255
Mailing address
943 W ANDREWS AVE STE P, HENDERSON, NC 27536-2587
(252) 430-1255
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1956
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005867
—
NC
Enumeration date
06/13/2007
Last updated
08/22/2020
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