Individual
DR. WANDA LASSITER NEEDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3805 TUCKER DR, GREENVILLE, NC 27858-6063
(252) 321-5551
Mailing address
3805 TUCKER DR, GREENVILLE, NC 27858-6063
(252) 321-5551
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1653
NC
Other
Enumeration date
05/19/2007
Last updated
07/08/2007
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