Organization
COUNSELING AND PSYCHOLOGY RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY S INDENBAUM PH.D. (OWNER)
(828) 324-6397
Entity
Organization
Contact information
Practice address
321 7TH ST NE, SUITE A, HICKORY, NC 28601-5113
(828) 324-6397
(828) 324-2320
Mailing address
321 7TH ST NE, SUITE A, HICKORY, NC 28601-5113
(828) 324-6397
(828) 324-2320
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1082
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000307
—
NC
Enumeration date
04/02/2007
Last updated
08/14/2007
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