| Seaside Psychological Assessments And Resources For Kids Pllc | |
|
209 Smith Ave Unit 1023 Shallotte NC 28459-0180 | |
| (540) 314-0606 | |
| Not Available |
| Full Name | Seaside Psychological Assessments And Resources For Kids Pllc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 209 Smith Ave Unit 1023, Shallotte, North Carolina |
| Authorized Official Name and Position | Tia Cornwall (PARTNER) |
| Authorized Official Contact | 5403140606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seaside Psychological Assessments And Resources For Kids Pllc Po Box 1023 Shallotte NC 28459-1023 Ph: () - | Seaside Psychological Assessments And Resources For Kids Pllc 209 Smith Ave Unit 1023 Shallotte NC 28459-0180 Ph: (540) 314-0606 |
| NPI Number | 1902773682 |
|---|---|
| Provider Enumeration Date | 10/20/2025 |
| Last Update Date | 10/20/2025 |
| Certification Date | 10/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902773682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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