THOMAS J HARBIN PH.D.

Clinical Neuropsychologist

Fayetteville, North Carolina

Provider NPI: 1154393395

Provider Information:
 THOMAS J HARBIN PH.D.
Gender: M
Sole Proprietor


Practice Location:
2411 ROBESON ST SUITE 200 FAYETTEVILLE, NC 28305 US
Tel: 910-609-1990  Fax: 910-609-1993

Business Mailing Address:
2411 ROBESON ST SUITE 200 FAYETTEVILLE, NC 28305 US
Tel: 910-609-1990  Fax: 910-609-1993

Entity Type: Individual

Taxonomy:

Primary	Code	Category/Description	State	License Number
N	103G00000X	Behavioral Health & Social Service Providers Clinical Neuropsychologist	NC	1530
Y	103T00000X	Behavioral Health & Social Service Providers Psychologist	NC	1530

Other Provider Identifiers:

Issuer	Number	State	Type
	6000311	NC	05
BCBSNC -- GROUP	015J8	NC	01
COMPSYCH	175921	NC	01
UBH	6138588	NC	01
BCBSNC -- INDIVIDUAL	0334A	NC	01

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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