Organization
TRILOGY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONTY G. GRUBB PHD (PSYCHOLOGIST/PRESIDENT)
(910) 686-4300
Entity
Organization
Contact information
Practice address
7741 MARKET ST, SUITE C, WILMINGTON, NC 28411-8806
(910) 686-4300
(910) 686-3303
Mailing address
7741 MARKET ST, SUITE C, WILMINGTON, NC 28411-8806
(910) 686-4300
(910) 686-3303
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
1529
NC
103TB0200X
Cognitive & Behavioral Psychologist
1529
NC
103TC0700X
Clinical Psychologist
Primary
1529
NC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
1529
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005009616
AETNA
—
01
—
0706C
BC/BS OF NC
NC
01
—
1529
PSYCHOLOGIST LICENSE NO.
NC
05
—
6000492
—
NC
01
—
S-24774
UPIN
NC
Enumeration date
10/20/2006
Last updated
06/21/2018
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