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HENRY WILLIAM LINK PHD

Clinical Neuropsychologist

Fairmont, North Carolina

Provider NPI: 1225078512

Provider Information:
 HENRY WILLIAM LINK PHD
Gender: M
Not Sole Proprietor

Practice Location:
302 N MAIN ST  FAIRMONT, NC 28340 US
Tel: 910-628-6718  Fax: 910-628-6719

Business Mailing Address:
PO BOX 329 302 N. MAIN STREET FAIRMONT, NC 28340 US
Tel: 910-628-6718  Fax: 910-628-6719

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NC1614

Other Provider Identifiers:

IssuerNumberStateType
BC/BS0384MNC01
MEGELLAN15563900NC01
6000704NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS NC - Page 1



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