Individual
MR. JW 'CHRIS' LOY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
107 S ABERNETHY ST, LINCOLNTON, NC 28092-3805
(704) 732-9354
(704) 732-9354
Mailing address
107 S ABERNETHY ST, LINCOLNTON, NC 28092-3805
(704) 732-9354
(704) 732-9354
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1240
NC
103TB0200X
Cognitive & Behavioral Psychologist
1240
NC
103TC0700X
Clinical Psychologist
Primary
1240
NC
103TC1900X
Counseling Psychologist
1240
NC
103TC2200X
Clinical Child & Adolescent Psychologist
1240
NC
103TF0000X
Family Psychologist
1240
NC
103TH0100X
Health Service Psychologist
1240
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046JP
BC BS PROVIDER NUMBER
NC
Enumeration date
05/20/2007
Last updated
11/09/2012
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