Individual
MR. GERWYN EVANS HEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPA
Contact information
Practice address
226 ACADEMY ST S, AHOSKIE, NC 27910-2451
(252) 332-2540
(252) 332-2540
Mailing address
226 ACADEMY ST S, AHOSKIE, NC 27910-2451
(252) 332-2540
(252) 332-2540
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1197
NC
103T00000X
Psychologist
Primary
1197
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107378
—
NC
Enumeration date
03/02/2007
Last updated
01/25/2008
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