Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 106H00000X | Marriage & Family Therapist | | 42 | NORTH CAROLINA | No |
| 2 | 103G00000X | Clinical Neuropsychologist | | 42 | NORTH CAROLINA | No |
| 3 | 103TB0200X | Psychologist | Cognitive & Behavioral | 42 | NORTH CAROLINA | No |
| 4 | 103TF0000X | Psychologist | Family | 42 | NORTH CAROLINA | No |
| 5 | 103TM1800X | Psychologist | Intellectual and Developmental Disabilities | 42 | NORTH CAROLINA | No |
| 6 | 103TP2701X | Psychologist | Group Psychotherapy | 42 | NORTH CAROLINA | No |
| 7 | 103T00000X | Psychologist | | 42 | NORTH CAROLINA | No |
| 8 | 103TC0700X | Psychologist | Clinical | 42 | NORTH CAROLINA | No |
| 9 | 1041C0700X | Social Worker | Clinical | 42 | NORTH CAROLINA | No |
| 10 | 103TC2200X | Psychologist | Clinical Child & Adolescent | 42 | NORTH CAROLINA | Yes |