| Salem Psychiatric Assoc | |
|
175 Kimel Park Dr Suite 115 Winston Salem NC 27103-6951 | |
| (336) 659-9440 | |
| (336) 659-9845 |
| Full Name | Salem Psychiatric Assoc |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 175 Kimel Park Dr, Winston Salem, North Carolina |
| Authorized Official Name and Position | Roger Mccauley (OWNER) |
| Authorized Official Contact | 3366599440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salem Psychiatric Assoc 175 Kimel Park Dr Suite 115 Winston Salem NC 27103-6951 Ph: (336) 659-9440 | Salem Psychiatric Assoc 175 Kimel Park Dr Suite 115 Winston Salem NC 27103-6951 Ph: (336) 659-9440 |
| NPI Number | 1396889549 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396889549 | NPI | - | NPPES |
| 02594 | Other | NC | BCBS |
| 8902594 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 20823 (North Carolina) | Primary |
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