Thera-peds | |
1214 Parkway Drive Goldsboro NC 27534-3448 | |
(919) 739-0047 | |
(919) 739-0041 |
Full Name | Thera-peds |
---|---|
Speciality | Psychologist |
Location | 1214 Parkway Drive, Goldsboro, North Carolina |
Authorized Official Name and Position | Marjorie Pate (OWNER) |
Authorized Official Contact | 9197390047 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Thera-peds Po Box 10723 Goldsboro NC 27532-0723 Ph: (919) 739-0047 | Thera-peds 1214 Parkway Drive Goldsboro NC 27534-3448 Ph: (919) 739-0047 |
NPI Number | 1033315734 |
---|---|
Provider Enumeration Date | 06/21/2007 |
Last Update Date | 11/17/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033315734 | NPI | - | NPPES |
6005202 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
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› Verified 6 days ago
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