Join NPCA - Out-of-State Level

ELIGIBILITY:

Out-of-State Members shall be persons who have been members in good standing who have moved to another state and wish to maintain affiliation or psychologists or students from another state who wish to become affiliated with the Association. Out-of-State Members shall not hold office nor serve as chairpersons of committees. They are considered non-voting members of the Association. Out-of-State Members may serve as members of committees of the Association and participate in programs and discussions of issues.

Prefix

First Name *

Last Name *

County of Residence (for internal use only)

Address

Street Address

City

State

Country

Postal Code

Email *

Always use the SAME email address when you make purchases with NPCA. This ensures that all activity is properly credited to the same account.

Highest Degree *

NC License Number

Year Licensed in NC

Date of birth *

Check the box to select the option you prefer: *

Membership: Out-of-State (Auto-Renew)

When you choose the convenience of auto-renewal, your NCPA will be billed automatically to the credit card on file each year. You can change your card or cancel your auto-renewal at any time from inside your member portal.

Subscription

$130

Membership: Out-of-State (One Year)

This option does not auto-renew. You will need to take action each year to keep your membership active.

$130

Credit Card Fee Donation

This donation offsets credit card processing fees.

$3.95

Do you want to be published in the public directory? *

Directory Image

Directory Street Address

Directory City

Directory State (Dropdown)

Directory Postal Code

Directory Phone

Directory Email

Website

Ages Served *

Assessment/Evaluations *

Issues *

Counties Served *

Foreign Language(s) Proficiency

Gender *

Ethnicity *

Licensure *

Modality

Where are you in your career? *

Practice Setting *

Religious Affiliation *

Licensed in Another State

PsyPact *

Licensed Behavior Analyst *

APA Member *

College/University *

Accepting New Patients *

Insurance Accepted *

Medicaid Accepted *

Medicare Accepted *