Individual
JOSEPH RIDGWAY DEACON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
300 ENOLA RD, MORGANTON, NC 28655-4625
(828) 584-0141
(828) 438-6519
Mailing address
300 ENOLA RD, MORGANTON, NC 28655-4608
(828) 433-2897
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2809
NC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
2809
NC
Other
Enumeration date
01/09/2008
Last updated
10/17/2018
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