Organization
LYN P. CARPENTER, PH.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDALYN PARKERSON CARPENTER PH.D. (REGISTERED AGENT/MEMBER)
(336) 293-4087
Entity
Organization
Contact information
Practice address
121 REYNOLDA VLG, SUITE C, WINSTON SALEM, NC 27106-5126
(336) 293-4087
(336) 293-7956
Mailing address
121 REYNOLDA VLG, SUITE C, WINSTON SALEM, NC 27106-5126
(336) 293-4087
(336) 293-7956
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2640
NC
Other
Enumeration date
06/30/2012
Last updated
06/30/2012
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