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Organization

AD/HD CLINIC AT UNIVERSITY OF NORTH CAROLINA GREENSBORO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PROF. TIMOTHY D. JOHNSTON PH. D. (DEAN OF COLLEGE OF ARTS AND SCIENCE)
(336) 346-3192
Entity
Organization

Contact information

Practice address
1100 W MARKET ST, 3RD FLOOR, GREENSBORO, NC 27403-1830
(336) 346-3192
(336) 346-3197
Mailing address
PO BOX 26170, GREENSBORO, NC 27402-6170
(336) 346-3192
(336) 346-3197

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2093
NC

Other

Enumeration date
03/10/2011
Last updated
03/10/2011
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