Individual
JANE VOGT BUONGIORNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1213 CULBRETH DR, WILMINGTON, NC 28405-3684
(910) 256-5070
(910) 256-6264
Mailing address
7327 COTESWORTH DR, WILMINGTON, NC 28405-3796
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2167
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0317F
BCBS PROVIDER NUMBER
NC
Enumeration date
03/14/2006
Last updated
03/09/2022
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