Organization
INTEGRATIVE PSYCHIATRY AND PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MYERS MD (OWNER)
(910) 757-0714
Entity
Organization
Contact information
Practice address
161 MAGNOLIA SQUARE CT, ABERDEEN, NC 28315-2225
(910) 757-0714
Mailing address
161 MAGNOLIA SQUARE CT, ABERDEEN, NC 28315-2225
(910) 757-0714
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9501354
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8961710
—
NC
Enumeration date
04/28/2016
Last updated
03/07/2017
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