Organization
ITHERAPYRX
Active
Other names
itherapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL KELLEY PULLEY L.P.A. (LICENSED PSYCHOLOGICAL ASSOCIATE)
(828) 964-8790
Entity
Organization
Contact information
Practice address
115 ATWOOD ST, SPARTA, NC 28675-9299
(828) 964-8790
Mailing address
PO BOX 56, ROARING GAP, NC 28668-0056
(828) 964-8790
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3453
NC
103TP2701X
Group Psychotherapy Psychologist
3453
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710167051
INDIVIDUAL NPI
NC
Enumeration date
11/22/2013
Last updated
11/22/2013
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