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Organization

TARBORO PEDIATRIC PSYCHOLOGY PLLC

Active
Other names
Paige Temple LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELEANOR PAIGE TEMPLE PH.D. (CLINICAL PSYCHOLOGIST/OWNER)
(252) 823-6187
Entity
Organization

Contact information

Practice address
511 SAINT ANDREW ST, TARBORO, NC 27886-4434
(252) 823-6187
(252) 641-0715
Mailing address
PO BOX 613, TARBORO, NC 27886-0613
(252) 823-6187
(252) 641-0715

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2884
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6000462
NC
Enumeration date
03/07/2011
Last updated
03/07/2011
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