Individual
DR. ELIZABETH ANN PETERSON-VITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
700 EAST STONEWALL STREET, SUITE 714, CHARLOTTE, NC 28202
(980) 314-4030
Mailing address
700 EAST STONEWALL STREET, SUITE 714, CHARLOTTE, NC 28202
(980) 314-4030
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
008026
NY
103T00000X
Psychologist
Primary
2683
NC
Other
Enumeration date
04/07/2014
Last updated
02/27/2018
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