Individual
MRS. GAIL DEBOSE GEORGESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
1703 COUNTRY CLUB RD, STE 204 CAROLINA PSYCHOLOGICAL HEALTH SERVICES, JACKSONVILLE, NC 28546-6006
(910) 347-3010
(910) 347-0740
Mailing address
1703 COUNTRY CLUB RD, STE 204 CAROLINA PSYCHOLOGICAL HEALTH SERVICES, JACKSONVILLE, NC 28546-6006
(910) 347-3010
(910) 347-0740
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
23S9
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142KR
BC/BS
NC
05
—
6107421
—
NC
Enumeration date
08/23/2006
Last updated
05/08/2008
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