Organization
PSYCHOTHERAPEUTIC SERVICES
Active
Parent organization
PSYCHOTHERAPEUTIC SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PSYCHOTHERAPEUTIC SERVICES, INC
Authorized official
MARCIA LYNN CLENDANIEL (BILLING MANAGER)
(410) 810-2465
Entity
Organization
Contact information
Practice address
2260 S. CHURCH ST, SUITE 303, BURLINGTON, NC 27215
(336) 538-6990
(336) 538-6991
Mailing address
2260 S CHURCH ST, SUITE 303, BURLINGTON, NC 27215
(410) 778-9114
(410) 778-7988
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300588
—
NC
Enumeration date
08/31/2007
Last updated
10/18/2016
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