Individual
DR. ROGER JEROME NUNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
105 LEON DR, GOLDSBORO, NC 27530-9029
(919) 580-9252
Mailing address
105 LEON DR, GOLDSBORO, NC 27530-9029
(919) 580-9252
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
1924
NC
103TB0200X
Cognitive & Behavioral Psychologist
1924
NC
103TC0700X
Clinical Psychologist
Primary
1924
NC
103TC2200X
Clinical Child & Adolescent Psychologist
1924
NC
103TF0200X
Forensic Psychologist
1924
NC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
1924
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0324R
LICENSED PSYCHOLOGIST
NC
05
—
6000454
—
NC
Enumeration date
12/04/2006
Last updated
09/27/2007
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