Individual
PETER VANDERVOORT STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1814 WESTCHESTER DR STE 402, HIGH POINT, NC 27262-7369
(336) 802-2205
(336) 802-2208
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103G00000X
Clinical Neuropsychologist
5828
NC
103T00000X
Psychologist
Primary
5828
NC
2084P0800X
Psychiatry Physician
PS018090
PA
Other
Enumeration date
08/23/2011
Last updated
01/10/2023
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