| Dr. L. Wayne Robertson | |
| 158 Drumgold Rd Littleton NC 27850-9415 | |
| (252) 586-4205 | |
| (252) 586-4205 | 
| Full Name | Dr. L. Wayne Robertson | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 158 Drumgold Rd, Littleton, North Carolina | 
| Authorized Official Name and Position | Leon Wayne Robertson (LICENSED PSYCHOLOGIST) | 
| Authorized Official Contact | 2525864205 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr. L. Wayne Robertson 158 Drumgold Rd Littleton NC 27850-9415 Ph: (252) 586-4205 | Dr. L. Wayne Robertson 158 Drumgold Rd Littleton NC 27850-9415 Ph: (252) 586-4205 | 
| NPI Number | 1285967695 | 
|---|---|
| Provider Enumeration Date | 09/16/2009 | 
| Last Update Date | 12/30/2011 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1285967695 | NPI | - | NPPES | 
| HSP-P 1252 | Other | NC | NORTH CAROLINA PSYCHOLOGY BOARD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | HSP-P 1252 (North Carolina) | Primary | 
| Changed Mindset Healthcare Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Parsley Ln, Littleton, NC 27850 Phone: 919-583-3024 |