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:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | NC | 1614 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BC/BS | 0384M | NC | 01 |
MEGELLAN | 15563900 | NC | 01 |
6000704 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin