Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | ||
N | 103TS0200X | School Psychologist |
NPI | 1043972847 |
---|---|
Provider Name | Deanna Hinckley |
First Address | Southern Pines, NC 28387-5633 |
Second Address | Fayetteville, NC 28304-3186 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2021 |
Last Update Date | 08/10/2021 |