Individual
KOSSI SEVON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1695 KERNERSVILLE MEDICAL PKWY RM 1122, KERNERSVILLE, NC 27284-7159
(336) 515-5000
Mailing address
1695 KERNERSVILLE MEDICAL PKWY RM 1122, KERNERSVILLE, NC 27284-7159
(336) 515-5000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5406
NC
Other
Enumeration date
11/20/2015
Last updated
06/21/2020
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