Doctor Name: | GERALD ROSWELL COLE |
NPI Number: | 1023112570 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA |
License Number: | 1022 |
Business Practice Address: | 517 Hibriten Dr Se Lenoir, NC - 286455914 |
Business Phone Number: | 8287579547 |
Business Fax Number: | 8287592593 |
Mailing Address: | 517 Hibriten Dr Se, LENOIR |
State: | NC |
Postal Code: | 286455914 |
Phone Number: | 8287579547 |
Fax Number: | 8287592593 |
NPI Enumeration Date: | 09/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 1022 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |