Individual
DR. LONNIE PETE SANSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 ZILLICOA ST, ASHEVILLE, NC 28801-1038
(828) 252-5350
(828) 252-5350
Mailing address
PO BOX 1887, ASHEVILLE, NC 28802-1887
(828) 252-5350
(828) 252-5305
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1759
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04572
BCBS
NC
05
—
6000199
—
NC
Enumeration date
02/28/2007
Last updated
09/21/2010
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