Individual
MS. SHARTRA SYLIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.A.
Contact information
Practice address
100 GOLD ST NE, WILSON, NC 27893-4020
(252) 206-4232
Mailing address
2810 HOPE DR NW, WILSON, NC 27896-1151
(252) 291-0415
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1584
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107368
—
NC
Enumeration date
07/06/2007
Last updated
07/08/2007
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