Organization Name: | DUNN PSYCHOLOGICAL ASSOCIATES, PA |
NPI Number: | 1174712798 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID MICHAEL DERMOTT (DIRECTOR) |
Mailing Address: | 102 Tilghman Dr Dunn |
State: | NC US |
Postal Code: | 283345533 |
Phone Number: | 9108925839 |
Fax Number: | 9108925771 |
NPI Enumeration Date: | 10/19/2007 |
NPI Last Update Date: | 10/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3185 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |