Individual
VANESSA CRAIG SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CAS, LPA
Contact information
Practice address
3945 GLEN HOLLOW LN NE, HICKORY, NC 28601-8728
(828) 256-2586
(828) 256-2586
Mailing address
3945 GLEN HOLLOW LN NE, HICKORY, NC 28601-8728
(828) 256-2586
(828) 256-2586
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0758
NC
103TS0200X
School Psychologist
0758
NC
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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