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511 Saint Andrew St Tarboro NC 27886-4434 | |
| (252) 823-6187 | |
| (252) 641-0715 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 511 Saint Andrew St, Tarboro, North Carolina |
| Authorized Official Name and Position | Eleanor Paige Temple (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 2528236187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 613 Tarboro NC 27886-0613 Ph: (252) 823-6187 | 511 Saint Andrew St Tarboro NC 27886-4434 Ph: (252) 823-6187 |
| NPI Number | 1992003537 |
|---|---|
| Provider Enumeration Date | 03/07/2011 |
| Last Update Date | 03/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992003537 | NPI | - | NPPES |
| 6000462 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2884 (North Carolina) | Primary |
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