Taxonomy Code 103TC0700X(103tc0700x)
Clinical Psychologist. Providers: 40

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Clinical Psychologist Providers

NPI Name Type Address

1215360235

DR. PH.D. Mary Lela Demby

Individual

Womack Amc Dobh

Bldg #4-3219, Reilly Road

Fort Bragg, NC

1366866873

DR. PSY.D. Garion Davenport

Individual

2817 Reilly St

Fort Bragg, NC

1336484039

PH.D. Kathleen Anne Curtiss-johnson

Individual

2817 Reilly St

Womack Army Medical Center

Fort Bragg, NC

1184013252

Ivan Gonzalez

Individual

2817 Reilly Road

Womack Army Medical Center

Fort Bragg, NC

1982157632

PH.D. Carlton Pyant

Individual

2817 Reilly St

Fort Bragg, NC

1922479641

DR. PH.D. Keith W Jennings

Individual

2817 Reilly Road

Womack Army Medical Center

Fort Bragg, NC

1043734833

DR. PSY.D. Lauren Day

Individual

2817 Reilly St

Fort Bragg, NC

1326506734

DR. PHD Brandi Marie Walker

Individual

2817 Reilly St Bldg 4-3219

Fort Bragg, NC

1992263982

PSYD Geney Ann Hammett

Individual

2817 Reilly Rd.

Fort Bragg, NC

1679035000

PSY.D. Cassandra Schimsa

Individual

2817 Reilly St Bldg 4-3219

Fort Bragg, NC

1164064739

DR. PSY.D. Jennifer Anne Barry

Individual

2817 Reilly St

Fort Bragg, NC

1407212996

MS. PHD Michelle Gonzalez

Individual

Womack Army Medical Center 2817 Reilly Rd

Fort Bragg, NC

1255840302

DR. PSYD Amy Henninger

Individual

2817 Reilly St

Fort Bragg, NC

1912275835

DR. PH.D. Matthew Camporese

Individual

2817 Reilly St

Fort Bragg, NC

1134895113

PSYD Kellie Byrd

Individual

2817 Reilly St

Fort Bragg, NC

1346912862

Robert Graziano

Individual

1722 Tagatay C

Fort Bragg, NC

1508213158

DR. PH.D. Cynthia Lewis Wallace

Individual

2817 Reilly St

Fort Bragg, NC

1144972779

Raul Gullermo Canchola

Individual

Womack Army Medical Center 2817 Reilly Rd

Fort Bragg, NC

1508514332

DR. PSY.D. Garrett Boyer

Individual

2817 Reilly Rd

Fort Bragg, NC

1750552758

DR. PSY.D. Thomas Joseph Longo

Individual

2817 Reilly St

Womack Army Medical Center

Fort Bragg, NC

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Taxonomy Code 103TC0700X
Specialization Clinical
Display Name Clinical Psychologist
Taxonomy Group Behavioral Health & Social Service Providers
Taxonomy Classification Psychologist
Definition A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Effective Date September 30, 2009
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Psychologist Codes

Addiction (Substance Use Disorder) Psychologist

103TA0400X • providers: 623

Adult Development & Aging Psychologist

103TA0700X • providers: 215

Clinical Child & Adolescent Psychologist

103TC2200X • providers: 4,646

Cognitive & Behavioral Psychologist

103TB0200X • providers: 2,097

Counseling Psychologist

103TC1900X • providers: 7,770

Deactivated - Psychologist

103TE1000X • providers: 0

Deactivated - Psychologist Men & Masculinity

103TM1700X • providers: 0

Deactivated - Psychologist Psychotherapy

103TP2700X • providers: 0

Deactivated - Psychotherapy Women

103TW0100X • providers: 0

Exercise & Sports Psychologist

103TE1100X • providers: 92

Family Psychologist

103TF0000X • providers: 337

Forensic Psychologist

103TF0200X • providers: 765

Group Psychotherapy Psychologist

103TP2701X • providers: 552

Health Psychologist

103TH0004X • providers: 432

Health Service Psychologist

103TH0100X • providers: 828

Intellectual & Developmental Disabilities Psychologist

103TM1800X • providers: 886

Prescribing (Medical) Psychologist

103TP0016X • providers: 528

Psychoanalysis Psychologist

103TP0814X • providers: 325

Psychologist

103T00000X • providers: 49,470

Rehabilitation Psychologist

103TR0400X • providers: 714

School Psychologist

103TS0200X • providers: 8,926