Individual
DR. JESSICA SPAETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2601 IRON GATE DR STE 101, WILMINGTON, NC 28412-6624
(910) 202-9113
Mailing address
2601 IRON GATE DR STE 101, WILMINGTON, NC 28412-6624
(910) 202-9113
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4542
NC
Other
Enumeration date
11/18/2013
Last updated
10/07/2022
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