Organization
PSYCHOLOGICAL MOBILE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN HANNANT PSYD (OWNER)
(919) 252-8896
Entity
Organization
Contact information
Practice address
105 S ELLINGTON ST, CLAYTON, NC 27520-2305
(252) 291-0735
Mailing address
779 TRUE VINE RD NE, PIKEVILLE, NC 27863-8800
(919) 252-4816
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3681
NC
251S00000X
Community/Behavioral Health Agency
0389
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008852
—
NC
Enumeration date
02/10/2014
Last updated
06/10/2014
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