Provider Demographics
NPI:1376662569
Name:MCCLELLAND, P KARIN (PSYCHOLOGIST)
Entity Type:Individual
Prefix:
First Name:P
Middle Name:KARIN
Last Name:MCCLELLAND
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1120 7 LKS N
Mailing Address - Street 2:PO BOX 9
Mailing Address - City:WEST END
Mailing Address - State:NC
Mailing Address - Zip Code:27376-9756
Mailing Address - Country:US
Mailing Address - Phone:910-673-9111
Mailing Address - Fax:910-673-6202
Practice Address - Street 1:110 W WALKER AVE
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-6760
Practice Address - Country:US
Practice Address - Phone:336-633-7043
Practice Address - Fax:336-625-4969
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist