<Unavail>

LBN: Srrc Psychology
<Unavail> is an health care organization with primary practice located at 1638 Owen Dr , Fayetteville NC 28304-3424. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Srrc Psychology can be contacted via phone (910) 609-6440, or through Fiser, Joseph B via phone (910) 615-5572.

Contact Information

Primary practice address
1638 Owen Dr Fayetteville NC 28304-3424
Phone: (910) 609-6440
Fax: (910) 609-5365
Website:
Map and Directions
Authorized official contact:
Name: Fiser, Joseph B
Phone: (910) 615-5572

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X H0213 North Carolina

Profile Details

NPI number 1083615777
LBN Legal business name Srrc Psychology
DBA Doing business as <Unavail>
Authorized official Fiser, Joseph B
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2005
Last updated Dec 19th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083615777 NPPES
North Carolina MEDICAID 6005389

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