Whalio Doctors

NPI 1558082297

Christian Renard Terry, PHD

Practitioner Clinical Neuropsychologist Wilmington, NC

Practice location

Address
1509 Doctors Cir Bldg C, Wilmington, NC 28401-7403
Phone
(910) 662-7500
Fax
(910) 662-7501
Mailing address
PO Box 936857, Atlanta, GA 31193-6857

Registered specialties (3)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 6443 (NC)
Clinical Neuropsychologist
Behavioral Health & Social Service Providers Taxonomy 103G00000X
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 6443 (NC)

Registry record

NPI
1558082297
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Sep 2022
Record last updated
22 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.