Individual
MRS. LAURA W WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3820 MERTON DR, SUITE 205, RALEIGH, NC 27609-6609
(919) 789-8989
(919) 789-8988
Mailing address
3820 MERTON DR, SUITE 205, RALEIGH, NC 27609-6609
(919) 789-8989
(919) 789-8988
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2237
NC
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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