Organization
CASTLEBERRY & ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEANOR CASTLEBERRY PH.D. (LICENSED PSYCHOLOGIST)
(980) 253-6150
Entity
Organization
Contact information
Practice address
941 FOXBOROUGH RD, CHARLOTTE, NC 28213-5765
(980) 253-6150
Mailing address
PO BOX 637, NEWELL, NC 28126-0637
(980) 253-6150
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2774
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005213
—
NC
Enumeration date
11/13/2006
Last updated
08/22/2020
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