Individual
PIUS N NYUTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., HSP-P
Contact information
Practice address
1310 RAEFORD RD, SUITE 2, FAYETTEVILLE, NC 28305-5085
(910) 485-6336
Mailing address
1310 RAEFORD RD, SUITE 2, FAYETTEVILLE, NC 28305-5085
(910) 485-6336
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4166
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6001367
—
NC
Enumeration date
01/26/2012
Last updated
06/05/2013
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