Individual
HENRY WILLIAM LINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
302 N MAIN ST, FAIRMONT, NC 28340-1730
(910) 628-6718
(910) 628-6719
Mailing address
PO BOX 329, 302 N. MAIN STREET, FAIRMONT, NC 28340-0329
(910) 628-6718
(910) 628-6719
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1614
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0384M
BC/BS
NC
01
—
15563900
MEGELLAN
NC
05
—
6000704
—
NC
Enumeration date
06/07/2006
Last updated
07/08/2007
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