Thera-Peds
NPI #1033315734 in Goldsboro, North Carolina
Provider Information
- NPI Number
- 1033315734
- Entity Type
- Organization
- Organization Name
- Thera-Peds
- Primary Specialty
- Psychologist
- Enumeration Date
- Jun 21, 2007
- Last Updated
- Nov 17, 2010
Practice Location
- Address
- 1214 PARKWAY DRIVE
- City
- Goldsboro
- State
- North Carolina
- ZIP Code
- 27534-3448
- Phone
- (919) 739-0047
Authorized Official
- Name
- MS. MARJORIE PATE, OTR L
- Title
- OWNER
- Phone
- (919) 739-0047
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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| DR. Wildemar Irene Summers Temple, PHD |
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