Provider Demographics
NPI:1114253499
Name:HOOK PSYCHOLOGICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:HOOK PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:HOOK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:910-792-1696
Mailing Address - Street 1:7115 ORCHARD TRCE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28409-2835
Mailing Address - Country:US
Mailing Address - Phone:910-792-1696
Mailing Address - Fax:910-796-7849
Practice Address - Street 1:4000 SHIPYARD BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-6192
Practice Address - Country:US
Practice Address - Phone:910-796-7848
Practice Address - Fax:910-796-7849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-21
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2445103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty