Individual
JAYME YODICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
1905 JN PEASE PLACE SUITE 104, CHARLOTTE, NC 28262
(704) 609-3614
(980) 224-0482
Mailing address
1905 JN PEASE PLACE SUITE 104, CHARLOTTE, NC 28262
(704) 609-3614
(980) 224-0482
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2390
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107492
—
NC
Enumeration date
08/07/2006
Last updated
04/23/2019
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