Individual
DR. BERTA JANE SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
30 NORTHERN BLVD, WILMINGTON, NC 28401-6730
(617) 903-0550
Mailing address
30 NORTHERN BLVD, WILMINGTON, NC 28401-6730
(617) 903-0550
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11115
MA
103T00000X
Psychologist
5782
NC
Other
Enumeration date
11/21/2017
Last updated
06/02/2022
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