Doctor Name: | DR. ADAM THOMAS MCDERMOTT |
NPI Number: | 1376779116 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD |
License Number: | |
Business Practice Address: | 1814 Westchester Dr Ste 402 High Point, NC - 272627359 |
Business Phone Number: | 3368022205 |
Business Fax Number: | 3368022206 |
Mailing Address: | 1701 Westchester Dr, Ste 850 HIGH POINT |
State: | NC |
Postal Code: | 272627254 |
Phone Number: | 3368022400 |
Fax Number: | 3368022534 |
NPI Enumeration Date: | 06/08/2009 |
NPI Last Update Date: | 08/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |