Individual
ELIZABETH CONMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPA
Contact information
Practice address
3240 BURNT MILL DR STE 9A, WILMINGTON, NC 28403-2570
(910) 620-8132
Mailing address
3240 BURNT MILL DR STE 9A, WILMINGTON, NC 28403-2570
(910) 620-8132
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6574
NC
103TC2200X
Clinical Child & Adolescent Psychologist
6574
NC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
6574
NC
103TS0200X
School Psychologist
6574
NC
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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