Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 2717 | NC |
N | 103T00000X | Psychologist | 2717 | NC |
N | 103TC1900X | Counseling Psychologist | 2717 | NC |
NPI | 1083697627 |
---|---|
Provider Name | Maria Arcila Duncan |
First Address | Greenville, NC 27858 |
Second Address | Greenville, NC 27858 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
045K1 | BCBS (01) | NC |