Individual
KATHERINE SUSANNE ROLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
851 OLD WINSTON RD, SUITE 107, KERNERSVILLE, NC 27284-8780
(336) 992-2171
Mailing address
851 OLD WINSTON RD, SUITE 107, KERNERSVILLE, NC 27284-8780
(336) 992-2171
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2901
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901
PSYCHOLOGY BOARD LICENSE
NC
05
—
6000919
—
NC
Enumeration date
11/27/2006
Last updated
01/16/2013
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