Organization · Type 2 NPI
Coastal Horizons Center, Inc.
Prescribing (Medical) Psychologist · Wilmington, NC
Practice location
615 Shipyard Blvd
Wilmington, NC 28412-6431
Fax (910) 790-0189
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | MHL-065-011 (NC) |
| Prescribing (Medical) Psychologist Primary | 103TP0016X | MHL-065-011 (NC) |
Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…
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About NPI 1003050634
Coastal Horizons Center, Inc.'s National Provider Identifier is 1003050634, issued on Apr 27, 2009. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Wilmington, NC. The record was last updated on Jul 20, 2011.