Provider Demographics
NPI:1215147566
Name:HINKLE, JOSEPH SCOTT (PHD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:SCOTT
Last Name:HINKLE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5710 HIGH POINT RD STE K
Mailing Address - Street 2:#166
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-7047
Mailing Address - Country:US
Mailing Address - Phone:336-601-0539
Mailing Address - Fax:336-547-0017
Practice Address - Street 1:7 TERRACE WAY STE A
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-3666
Practice Address - Country:US
Practice Address - Phone:336-547-0607
Practice Address - Fax:226-547-0017
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCBCBS 0344GOtherBLUE CROSS BLUE SHIELD