Doctor Name: | MS. REBECCA DYAN CLICK |
NPI Number: | 1932113990 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, BCBA |
License Number: | |
Business Practice Address: | 2032 Carl Meares Rd Fair Bluff, NC - 284399787 |
Business Phone Number: | 9108405998 |
Business Fax Number: | 9103136598 |
Mailing Address: | 2032 Carl Meares Rd, FAIR BLUFF |
State: | NC |
Postal Code: | 284399787 |
Phone Number: | 9108405998 |
Fax Number: | 9103136598 |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 12/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |