Carraway, Marissa Anne Errickson
Carraway, Marissa Anne Errickson is an individual health care provider with primary practice located at 101 Heart Dr , Greenville NC 27834-8982. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Carraway, Marissa Anne Errickson can be contacted via phone (252) 744-4611.Contact Information
Primary practice address
101 Heart Dr
Greenville NC 27834-8982
Phone: (252) 744-4611
Fax: (252) 744-3201
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 4866 | North Carolina |
Behavioral Health & Social Service Providers / Health | 103TH0004X | Tennessee |
Profile Details
NPI number | 1669807095 |
---|---|
LBN Legal business name | Carraway, Marissa Anne Errickson |
Credentials | M.A., PH.D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 4th, 2013 |
Last updated | Feb 2nd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669807095 | NPPES |
North Carolina | Other | 19EXB | BCBS NC |
North Carolina | MEDICAID | 1669807095 | BCBS NC |
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