Terri Martin Revelle
Psychologist
111 E. Jefferson St.
Jackson
, North Carolina 27845
Terri Martin Revelle
Psychologist
111 E. Jefferson St.
Jackson
, North Carolina 27845
(252) 578-3918
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Terri Martin Revelle
- 518 Pine Tops Rd
- Murfreesboro, NC
- Zip : 27855-9663
- Phone : (252) 578-3918
Second Address
- Terri Martin Revelle
- 111 E. Jefferson St.
- Jackson, NC
- Zip : 27845
- Fax : (252) 534-1216
- Phone : (252) 578-3918
Reviews
FAQs
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Is Terri Martin Revelle accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 3749 | NC |
| Y | 103T00000X | Psychologist | 3749 | NC |
National Provider Identifier
| NPI | 1013109552 |
|---|---|
| Provider Name | Terri Martin Revelle |
| First Address | Murfreesboro, NC 27855-9663 |
| Second Address | Jackson, NC 27845 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2007 |
| Last Update Date | 16/01/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 157CH | BLUE CROSS BLUE SHIELD (01) | NC |
| 6107657 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.