Walcott, Christy Mangione
Walcott, Christy Mangione is an individual health care provider with primary practice located at 104 Rawl Bldg, Mailstop 565 Department Of Psychology, Greenville NC 27858-4353. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / School is her primary health care specialty. Walcott, Christy Mangione can be contacted via phone (252) 328-1378.Contact Information
Primary practice address
104 Rawl Bldg, Mailstop 565 Department Of Psychology
Greenville NC 27858-4353
Phone: (252) 328-1378
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 4388 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4388 | North Carolina |
Profile Details
| NPI number | 1952699456 |
|---|---|
| LBN Legal business name | Walcott, Christy Mangione |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2011 |
| Last updated | Jul 15th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952699456 | NPPES |
| North Carolina | Other | 1752W | BCBSNC |
| North Carolina | MEDICAID | 6001394 | BCBSNC |
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