Provider Demographics
NPI:1407996218
Name:ASSOCIATES FOR PSYCHOTHERAPY, LLP
Entity Type:Organization
Organization Name:ASSOCIATES FOR PSYCHOTHERAPY, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MUSSELWHITE
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:336-854-4450
Mailing Address - Street 1:431 SPRING GARDEN ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-6564
Mailing Address - Country:US
Mailing Address - Phone:336-854-4450
Mailing Address - Fax:336-235-2183
Practice Address - Street 1:431 SPRING GARDEN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-6564
Practice Address - Country:US
Practice Address - Phone:336-854-4450
Practice Address - Fax:336-235-2183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2010-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1657Medicare PIN