Healthcare Provider Details

I. General information

NPI: 1114227352
Provider Name (Legal Business Name): ROLFFS S PINKERTON PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2010
Last Update Date: 10/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1403 WILDWOOD DR
CHAPEL HILL NC
27517-3026
US

IV. Provider business mailing address

1403 WILDWOOD DR
CHAPEL HILL NC
27517-3026
US

V. Phone/Fax

Practice location:
  • Phone: 919-663-1008
  • Fax: 919-933-9201
Mailing address:
  • Phone: 919-663-1008
  • Fax: 919-933-9201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number0172
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: