Individual
PROF. SUSAN MICHELLE WHICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2310 STINSON DR, RM 612, PSYCHOEDUCATIONAL CLINIC-NCSU, RALEIGH, NC 27695-0001
(919) 515-1713
(919) 515-1716
Mailing address
2310 STINSON DR, ROOM 612 PSYCHOEDUCATIONAL CLINIC, NCSU, RALEIGH, NC 27695-0001
(919) 515-1713
(919) 515-1716
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2897
NC
Other
Enumeration date
04/18/2007
Last updated
04/09/2013
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