Whitlock, Larry Davis

Whitlock, Larry Davis is an individual health care provider with primary practice located at 1665 Zion Rd , Morganton NC 28655-8937. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Whitlock, Larry Davis can be contacted via phone (828) 438-9438.

Contact Information

Primary practice address
1665 Zion Rd Morganton NC 28655-8937
Phone: (828) 438-9438
Fax: (828) 438-9438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0244 North Carolina

Profile Details

NPI number 1134176977
LBN Legal business name Whitlock, Larry Davis
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Nov 8th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134176977 NPPES
North Carolina MEDICAID 6000623

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