Individual
JAN A SEDWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27599-0001
(919) 966-1234
Mailing address
143 W FRANKLIN ST, CHAPEL HILL, NC 27516-2539
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3060
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000642
—
NC
Enumeration date
10/10/2006
Last updated
12/10/2007
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