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Organization

A4PSYCHOLOGY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEERTINA A ELLIS ED.D., (MANAGING OWNER)
(910) 578-3451
Entity
Organization

Contact information

Practice address
596 EXECUTIVE PL STE 201, FAYETTEVILLE, NC 28305-5189
(910) 491-8545
(910) 491-0069
Mailing address
596 EXECUTIVE PL STE 201, FAYETTEVILLE, NC 28305-5189
(910) 491-8545
(910) 491-0069

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
03/27/2020
Last updated
03/27/2020
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