MEDICARE: DR. ELINOR TERRY CALL PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	1670	NC

General Provider Information

NPI Number	:	1346284163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELINOR TERRY CALL PH.D.

Provider Business Mailing Address
First Line	:	1340 ASHLEY SQ
Second Line	:
City	:	WINSTON-SALEM
State	:	NC
Zip	:	27103-2949
Country	:	US
Telephone Number	:	336-765-1182
Fax Number	:	336-765-6992

Provider Business Practice Location Address
First Line	:	1340 ASHLEY SQ
Second Line	:
City	:	WINSTON-SALEM
State	:	NC
Zip	:	27103-2949
Country	:	US
Telephone Number	:	336-765-1182
Fax Number	:	336-765-6992

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	07/08/2007

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