Individual
MRS. JENNIFER GAYLE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2450 DELANEY RD, WILMINGTON, NC 28403-6062
(910) 763-9512
Mailing address
410 W BLACKBEARD RD, WILMINGTON, NC 28409-2708
(910) 452-7115
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2177
NC
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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