Individual
DR. LARRY MICHEL MCCONATHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2100 STANTONSBURG ROAD, PITT COUNTY MEMORIAL HOSPITAL, PSYCHOLOGY DEPARTMENT, GREENVILLE, NC 27835-6028
(252) 847-4444
(252) 847-7551
Mailing address
1206 ALLEN ROAD, APT D, GREENVILLE, NC 27834
(252) 378-0400
(252) 847-7551
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
055P
AR
103TC0700X
Clinical Psychologist
Primary
3658
NC
103TC1900X
Counseling Psychologist
055P
AR
103TC2200X
Clinical Child & Adolescent Psychologist
055P
AR
103TC2200X
Clinical Child & Adolescent Psychologist
3658
NC
Other
Enumeration date
05/12/2006
Last updated
02/21/2012
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