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General NPI Number Information
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NPI Number | 1144983438
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Entity Type | Organization
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Legal Business Name | INSIGHT PSYCHOLOGICAL ASSESSMENT
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Dates
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Enumeration Date | 10/14/2021
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Last Update Date | 03/21/2022
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Provider Practice Location Address
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Address Line | 200 DOCTORS DR STE M
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6308
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Country | US
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Telephone | 910-378-2678
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 388
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City | MAYSVILLE
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State | NC
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Zip | 28555-0388
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Country | US
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Telephone | 910-934-1017
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | CARISSA MARSH
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Credential | PHD
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Telephone | 910-378-2678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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