Organization
SYLVA CLINICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHIMENE M MATHIS (PRACTICE MANAGER)
(828) 586-5555
Entity
Organization
Contact information
Practice address
186 MEDICAL PARK LP, SUITE 502, SYLVA, NC 28779
(828) 568-5555
(828) 586-5555
Mailing address
186 MEDICAL PARK LP, SUITE 502, SYLVA, NC 28779
(828) 568-5555
(828) 586-5555
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0251C
BLUE CROSS BLUE SHIELD
NC
05
—
6001904
—
NC
Enumeration date
09/05/2006
Last updated
08/22/2020
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