Doctor Name: | DR. ELEANOR PAIGE TEMPLE |
NPI Number: | 1154378313 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 2884 |
Business Practice Address: | 511 Saint Andrew St Tarboro, NC - 278864434 |
Business Phone Number: | 2528236187 |
Business Fax Number: | 2528241580 |
Mailing Address: | Po Box 613, TARBORO |
State: | NC |
Postal Code: | 278860613 |
Phone Number: | 2528236187 |
Fax Number: | 2526410715 |
NPI Enumeration Date: | 05/31/2006 |
NPI Last Update Date: | 01/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2884 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |