Individual
DR. GARY JUDSON STAINBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
104 WINDEMERE CT, GREENVILLE, NC 27858-9246
(252) 756-6468
Mailing address
104 WINDEMERE CT, GREENVILLE, NC 27858-9246
(252) 756-6468
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1838
NC
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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