Individual
ELIZABETH FAYE FLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS, LPA
Contact information
Practice address
1920 TRADD CT, WILMINGTON, NC 28401-6637
(910) 343-6890
(910) 332-1233
Mailing address
1920 TRADD CT, WILMINGTON, NC 28401-6637
(910) 343-6890
(910) 332-1233
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
LCAS-1932
NC
103TC0700X
Clinical Psychologist
3599
NC
Other
Enumeration date
09/18/2008
Last updated
12/09/2020
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