Individual
DR. DUNIELLE THERESA ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1250 WESTERN BLVD, JACKSONVILLE, NC 28546-6748
(910) 378-9211
Mailing address
1250 WESTERN BLVD, JACKSONVILLE, NC 28546-6748
(910) 378-9211
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
5573
NC
Other
Enumeration date
09/05/2014
Last updated
06/26/2021
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