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 |
---|---|---|---|
BCBSNC -- INDIVIDUAL | 0334A | NC | 01 |
UBH | 6138588 | NC | 01 |
COMPSYCH | 175921 | NC | 01 |
6000311 | NC | 05 | |
BCBSNC -- GROUP | 015J8 | NC | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin