Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIMMY BALLARD HARRELL, HSP-PA
Active Sole ProprietorJIMMY BALLARD HARRELL, HSP-PA is a Cognitive & Behavioral Psychologist healthcare provider located in GOLDSBORO, North Carolina. NPI 1972096451 is currently active in the NPPES registry. Verify at CMS.
Cognitive & Behavioral Psychologist · GOLDSBORO, NC
Registration Details
- NPI Number
- 1972096451
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2018 (8.0316906602902 yrs)
- Last Updated
- Jun 11, 2018
- License
-
1514 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1706 WAYNE MEMORIAL DRGOLDSBORO, NC, 275342240Browse NC providers · Browse ZIP 27534
- Phone
- 9197346676
- Fax
- 9197349050
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
Other Cognitive & Behavioral Psychologist Providers in GOLDSBORO, NC
| Name | Credential | NPI |
|---|---|---|
| SANDRA GRAY-RAIFORD | — | 1881781391 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.