Organization
TERESA A. POOLE, PH.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA A POOLE PH.D. (LICENSED PSYCHOLOGIST)
(919) 778-8757
Entity
Organization
Contact information
Practice address
692 N SPENCE AVE, SUITE B, GOLDSBORO, NC 27534-4339
(919) 778-8757
(919) 778-8758
Mailing address
692 N SPENCE AVE, SUITE B, GOLDSBORO, NC 27534-4339
(919) 778-8757
(919) 778-8758
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0473E
BLUE CROSS BLUE SHIELD
NC
05
—
6000096
—
NC
Enumeration date
06/12/2007
Last updated
08/22/2020
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