Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 0172 | NC |
NPI | 1114227352 |
---|---|
Provider Name | Rolffs S Pinkerton |
First Address | Chapel Hill, NC 27517-3026 |
Second Address | Chapel Hill, NC 27517-3026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2010 |
Last Update Date | 21/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200001966165 | NC PRIVLEGE LICENSE (01) | NC |