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

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

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