Individual
DR. JACQUELYN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1540 SUNDAY DR STE 200, RALEIGH, NC 27607-6000
(919) 859-9040
(919) 859-9030
Mailing address
6637 KEYSTONE DR, RALEIGH, NC 27612-5209
(919) 247-2906
(800) 213-8256
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3729
NC
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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