Doctor Name: | MRS. ELAINE THOMAS WOLF |
NPI Number: | 1265527766 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 1350 |
Business Practice Address: | 270 N Toms St Rutherfordton, NC - 28139 |
Business Phone Number: | 8282878890 |
Business Fax Number: | 8282873102 |
Mailing Address: | 238 Knollwood Dr, FOREST CITY |
State: | NC |
Postal Code: | 280439651 |
Phone Number: | 8282459732 |
Fax Number: | 8282873102 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1350 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |