Individual
DR. JANICE R WILMOTH
Active
Individual
DR. JANICE R WILMOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD,PSYD,LCAS,CCS
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
3142
NC
103TA0400X
Addiction (Substance Use Disorder) Psychologist
3142
NC
103TC0700X
Clinical Psychologist
Primary
3142
NC
Other
Enumeration date
10/29/2005
Last updated
09/17/2012
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