Individual
DR. ERICA HELENE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
101 CONNER DR, SUITE 405, CHAPEL HILL, NC 27514-7038
(919) 929-8183
Mailing address
7509 CHESLEY LN, SUITE 405, DURHAM, NC 27713-8893
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
900
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04859
BLUE CROSS BLUE SHIELD
NC
Enumeration date
11/08/2006
Last updated
07/08/2007
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