Healthcare Provider Details

I. General information

NPI: 1720033491
Provider Name (Legal Business Name): HARBIN AND ASSOICATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2411 ROBESON ST SUITE 200
FAYETTEVILLE NC
28305-5549
US

IV. Provider business mailing address

2411 ROBESON ST SUITE 200
FAYETTEVILLE NC
28305-5549
US

V. Phone/Fax

Practice location:
  • Phone: 910-609-1990
  • Fax: 910-609-1993
Mailing address:
  • Phone: 910-609-1990
  • Fax: 910-609-1993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: THOMAS J HARBIN
Title or Position: PSYCHOLOGIST, OWNER
Credential: PH.D.
Phone: 910-609-1990