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Individual

JAN LARAE EVERHART NEWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3318 PARTING BROOK CT, CHARLOTTE, NC 28210-8159
(704) 444-0087
Mailing address
301 S MCDOWELL ST STE 125, CHARLOTTE, NC 28204-0031
(704) 444-0087

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
5013
NC
103TC0700X
Clinical Psychologist
Primary
5013
NC
103TC2200X
Clinical Child & Adolescent Psychologist
5013
NC

Other

Enumeration date
08/19/2015
Last updated
08/23/2022
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