Organization · NPI-2
Allied Psychophysiology Services PLLC
· Wilmington, NC
NPI number1700069150
StatusActive
Last updated in NPPESJul 22, 2015
Details
- NPI
- 1700069150
- Entity type
- Organization (NPI-2)
- Legal business name
- Allied Psychophysiology Services PLLC
- Organization subpart
- No
- Enumeration date
- Dec 7, 2007
- Last updated
- Jul 22, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0600X | – | – | Yes | |
| 2084P0015X | Psychiatry & Neurology, Psychosomatic Medicine | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | |
| 364SN0800X | Clinical Nurse Specialist, Neuroscience | – | – | |
| 364SP0808X | Clinical Nurse Specialist, Psych/Mental Health | – | – |
Other names
- Allied Psychophysiology (Doing Business As)
Practice location
2018 Eastwood RdWilmington, NC 28403-7228
Phone 910-515-4200 · Fax 888-562-3550
Mailing address
Po Box 754Wrightsville Beach, NC 28480-0754
Fax 888-562-3550
Authorized official
Elizabeth Porter
Office Manager
9105154200
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