Individual
DR. WILLIAM MICHAEL LARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2224 LACY ST, BURLINGTON, NC 27215-5341
(336) 228-0112
(336) 228-6994
Mailing address
2224 LACY ST, BURLINGTON, NC 27215-5341
(336) 228-0112
(336) 228-6994
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1500
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000526
—
NC
Enumeration date
12/29/2006
Last updated
07/08/2007
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