Individual
DR. MARY LEE EVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2064 NC HIGHWAY 125, ROANOKE RAPIDS, NC 27870-9436
(252) 536-5000
(252) 536-2258
Mailing address
PO BOX 640, ROANOKE RAPIDS, NC 27870-0640
(252) 536-5440
(252) 536-5444
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
1410
NC
103TC0700X
Clinical Psychologist
Primary
1410
NC
103TC2200X
Clinical Child & Adolescent Psychologist
1410
NC
103TH0004X
Health Psychologist
1410
NC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
1410
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0345A
NC BCBS
NC
Enumeration date
05/22/2007
Last updated
02/07/2019
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