Organization
DREAM PROVIDER CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE BARTON (ADMINISTRATIVE ASSISTANT)
(252) 946-0585
Entity
Organization
Contact information
Practice address
216 STEWART PKWY, WASHINGTON, NC 27889-4972
(252) 946-0585
(252) 946-0580
Mailing address
216 STEWART PKWY, WASHINGTON, NC 27889-4972
(252) 946-0585
(252) 946-0580
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005782
—
NC
Enumeration date
09/02/2010
Last updated
09/02/2010
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