Individual
RICHARD K. TAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
704 OLD LILESVILLE RD, WADESBORO, NC 28170-2820
(704) 694-6588
(704) 694-6706
Mailing address
704 OLD LILESVILLE RD, WADESBORO, NC 28170-2820
(704) 694-6588
(704) 694-6706
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
999
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427175066
—
NC
05
—
6107286
—
NC
Enumeration date
03/26/2007
Last updated
07/31/2013
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