Organization · NPI-2

Bay Area Psychology Associates, PLLC

Psychologist · Jacksonville, NC

NPI number1629499819
StatusActive
Last updated in NPPESJun 16, 2023

Details

NPI
1629499819
Entity type
Organization (NPI-2)
Legal business name
Bay Area Psychology Associates, PLLC
Organization subpart
No
Enumeration date
Dec 14, 2013
Certification date
Jun 16, 2023
Last updated
Jun 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist––Yes
1041C0700X Social Worker, Clinical––

Practice location

2457 Gum Branch Rd Ste 800
Jacksonville, NC 28540-4008

Phone 910-238-2774 · Fax 910-387-0757

Mailing address

2457 Gum Branch Rd Ste 800
Jacksonville, NC 28540-4008

Phone 910-238-2774 · Fax 910-387-0757

Authorized official

Allison Brooks
Administrative Director
9105815352

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