Individual
THOMAS J HARBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2411 ROBESON ST, SUITE 200, FAYETTEVILLE, NC 28305-5549
(910) 609-1990
(910) 609-1993
Mailing address
2411 ROBESON ST, SUITE 200, FAYETTEVILLE, NC 28305-5549
(910) 609-1990
(910) 609-1993
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1530
NC
103T00000X
Psychologist
Primary
1530
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015J8
BCBSNC -- GROUP
NC
01
—
0334A
BCBSNC -- INDIVIDUAL
NC
01
—
175921
COMPSYCH
NC
05
—
6000311
—
NC
01
—
6138588
UBH
NC
Enumeration date
02/02/2006
Last updated
12/01/2009
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