Provider Demographics
NPI:1356321053
Name:NAIRN, RAYMOND C (PHD)
Entity type:Individual
Prefix:
First Name:RAYMOND
Middle Name:C
Last Name:NAIRN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 AVENUE C
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-3115
Mailing Address - Country:US
Mailing Address - Phone:252-466-0500
Mailing Address - Fax:
Practice Address - Street 1:PSC BOX 8023
Practice Address - Street 2:PSYCHOLOGY DEPARTMENT
Practice Address - City:CHERRY POINT
Practice Address - State:NC
Practice Address - Zip Code:28533
Practice Address - Country:US
Practice Address - Phone:252-466-0500
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist