Organization
WALYKO PSYCHOLOGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLOTTE REEVES WALYKO M.A. (LICENSED PSYCHOLOGICAL ASSOCIATE)
(252) 937-7661
Entity
Organization
Contact information
Practice address
3485 S EVANS ST, GREENVILLE, NC 27834-4532
(252) 353-6277
(252) 353-6511
Mailing address
220 EMERSON DR, ROCKY MOUNT, NC 27803-2234
(252) 937-7661
(252) 353-6511
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
1699
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04579
BLUE CROSS BLUE SHIELD
NC
05
—
6107008
—
NC
01
—
E4385
MEDCOST
NC
Enumeration date
12/31/2008
Last updated
12/31/2008
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