Individual
ANNA JILL WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
315 MADISON AVE RM 806, NEW YORK, NY 10017-5432
(646) 863-4225
Mailing address
202 LIGHTHOUSE WAY, CARY, NC 27511-7209
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6495
NC
103TC1900X
Counseling Psychologist
022569
NY
103TC1900X
Counseling Psychologist
Primary
6495
NC
Other
Enumeration date
05/22/2018
Last updated
04/29/2026
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