Individual
LARA E GERRARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
600 N MADISON AVE, GOLDSBORO, NC 27530-3143
(919) 739-0047
(919) 739-9041
Mailing address
PO BOX 362, PIKEVILLE, NC 27863-0362
(919) 739-0047
(919) 739-9041
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1567
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1567
NC STATE LICENSE
NC
Enumeration date
02/07/2007
Last updated
07/08/2007
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