Organization
FOUR COUNTY PSYCHOLOGICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE WILLIS HOYT PH.D. (PRESIDENT)
(252) 430-1639
Entity
Organization
Contact information
Practice address
568 RUIN CREEK RD, JENKINS BLDG. SUITE 004, HENDERSON, NC 27536-2880
(252) 430-1639
Mailing address
568 RUIN CREEK RD, JENKINS BLDG. SUITE 004, HENDERSON, NC 27536-2880
(252) 430-1639
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2590
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000511
—
NC
Enumeration date
12/06/2006
Last updated
08/22/2020
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