Individual
CATHERINE N. IBSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH. D
Contact information
Practice address
2450 DELANEY RD, WILMINGTON, NC 28403-6062
(910) 763-9512
Mailing address
2450 DELANEY RD, WILMINGTON, NC 28403-6062
(910) 763-9512
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
799
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000521
—
NC
Enumeration date
12/28/2005
Last updated
07/09/2007
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