Individual
MRS. MARGARET MITCHELL FLATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
806 HAY ST, FAYETTEVILLE, NC 28305-5312
(910) 860-7008
(910) 221-9006
Mailing address
806 HAY ST, FAYETTEVILLE, NC 28305-5312
(910) 860-7008
(910) 221-9006
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LPA #2452
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137PA
BC/BS PROVIDER NUMBER
NC
05
—
6107200
—
NC
05
—
8943
—
NC
Enumeration date
07/19/2006
Last updated
03/23/2012
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