Organization
ECU PASS CLINIC
Active
Parent organization
EAST CAROLINA UNIVERSITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST CAROLINA UNIVERSITY
Authorized official
DR. TONY CELLUCCI PH.D. (CLINIC DIRECTOR)
(252) 737-4179
Entity
Organization
Contact information
Practice address
311 RAWL BUILDING , EAST 5TH ST., EAST CAROLINA UNIVERSITY, GREENVILLE, NC 27858-4353
(252) 737-4180
(252) 737-4166
Mailing address
311 RAWL BUILDING, DEPARTMENT OF PSYCHOLOGY, EAST CAROLINA UNIVERSITY, GREENVILLE, NC 27858-4353
(252) 737-4180
(252) 737-4166
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1018
NC
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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