Professional Rehabilitation Consultants
NPI #1598844565 in Greensboro, North Carolina
Provider Information
- NPI Number
- 1598844565
- Entity Type
- Organization
- Organization Name
- Professional Rehabilitation Consultants
- Primary Specialty
- Psychologist - Rehabilitation
- Enumeration Date
- Nov 2, 2006
- Last Updated
- Jun 6, 2008
Practice Location
- Address
- 1710 KAY ST
- City
- Greensboro
- State
- North Carolina
- ZIP Code
- 27405-5046
- Phone
- (336) 508-1157
Authorized Official
- Name
- ZAN L LICCIONE, CRC
- Title
- CEO, CLINICAL SERVICES
- Phone
- (336) 508-1157
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Rehabilitation — Rehabilitation |
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