Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 3523477373 | NC |
NPI | 1104495886 |
---|---|
Provider Name | Ralph Earl Rice |
First Address | Asheville, NC 28806-3116 |
Second Address | Asheville, NC 28806-3116 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2021 |
Last Update Date | 17/06/2021 |