Mcdermott, Adam Thomas
Mcdermott, Adam Thomas is an individual health care provider with primary practice located at 1814 Westchester Dr Ste 402, High Point NC 27262-7359. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Mcdermott, Adam Thomas can be contacted via phone (336) 802-2205.Contact Information
Primary practice address
1814 Westchester Dr Ste 402
High Point NC 27262-7359
Phone: (336) 802-2205
Fax: (336) 802-2206
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 4122 | North Carolina |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1376779116 |
---|---|
LBN Legal business name | Mcdermott, Adam Thomas |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 8th, 2009 |
Last updated | Nov 8th, 2016 - about 9 years ago |
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 | 1376779116 | NPPES |
North Carolina | MEDICAID | 6001286 |
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