Individual
TINA MARIE GREMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
101 CLOISTER CT, SUITE D, CHAPEL HILL, NC 27514-2207
(919) 271-0126
Mailing address
PO BOX 63362, SUITE D, CHARLOTTE, NC 28263-3362
(919) 620-4918
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
IL
103TC0700X
Clinical Psychologist
Primary
3544
NC
Other
Enumeration date
07/21/2009
Last updated
08/09/2016
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