Individual
PAULA GAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
393 N MAIN ST, SPARTA, NC 28675-8896
(336) 372-2530
(336) 372-2532
Mailing address
393 N MAIN ST, SPARTA, NC 28675-8896
(336) 372-2530
(336) 372-2532
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0311
NC
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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