Individual
MR. DONALD WINTHROP MOTT
Active
Individual
MR. DONALD WINTHROP MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPA
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0399
NC
103TC0700X
Clinical Psychologist
Primary
0399
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046UP
BCBS
NC
01
—
191057
MEDCOST
NC
01
—
600073-029
MAGELLAN
NC
05
—
6107290
—
NC
Enumeration date
10/03/2006
Last updated
09/14/2015
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