Organization
ALBEMARLE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER D ALLEN PHD (PARTNER)
(252) 338-8821
Entity
Organization
Contact information
Practice address
301 E CHURCH STREET, ELIZABETH CITY, NC 27909
(252) 338-8821
(252) 338-6459
Mailing address
PO BOX 303, ELIZABETH CITY, NC 27907
(252) 338-8821
(252) 338-6459
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
NCHSP0954
NC
103T00000X
Psychologist
NCHSP0956
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03119
BLUE CROSS
NC
01
—
04098
BLUE CROSS
NC
01
—
39847
OPTIMA
NC
05
—
6000147
—
NC
05
—
6000148
—
NC
01
—
94483
MEDCOST
NC
Enumeration date
08/22/2007
Last updated
10/21/2011
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