| Uncg Psychology Clinic | |
|
1100 W Market St 3rd Floor Greensboro NC 27403-1830 | |
| (336) 334-5662 | |
| (336) 334-5754 |
| Full Name | Uncg Psychology Clinic |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1100 W Market St, Greensboro, North Carolina |
| Authorized Official Name and Position | Tim Johnston (DEAN, COLLGE OF ARTS & SCIENCES) |
| Authorized Official Contact | 3362560065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uncg Psychology Clinic Po Box 26170 Uncg Campus Greensboro NC 27402-6170 Ph: (336) 334-5662 | Uncg Psychology Clinic 1100 W Market St 3rd Floor Greensboro NC 27403-1830 Ph: (336) 334-5662 |
| NPI Number | 1023187473 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 07/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023187473 | NPI | - | NPPES |
| 6005278 | Medicaid | NC | |
| 5903678 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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