Individual provider · NPI-1

Dr. Christian Renard Terry, PhD

Clinical Neuropsychologist · Wilmington, NC

NPI number1558082297
StatusActive
Last updated in NPPESAug 22, 2024

Details

NPI
1558082297
Entity type
Individual (NPI-1)
Name
Dr. Christian Renard Terry
Credential
PhD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 12, 2022
Certification date
Aug 22, 2024
Last updated
Aug 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103G00000X Clinical Neuropsychologist6443NCYes
103G00000X Clinical Neuropsychologist–NC
103T00000X Psychologist6443NC

Other names

  • Chris Terry (Professional Name)

Practice location

1509 Doctors Cir Bldg C
Wilmington, NC 28401-7403

Phone 910-662-7500 · Fax 910-662-7501

Mailing address

Po Box 936857
Atlanta, GA 31193-6857

Phone 910-662-7500 · Fax 910-662-7501

Other practice locations

4415 Junction Park Dr
Wilmington, NC 28412-2263

Phone 910-791-6277 · Fax 910-791-6226

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