Individual
MRS. JENNIFER PAIGE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4109 CONVERSE DR, RALEIGH, NC 27609-5933
(919) 413-7192
Mailing address
4109 CONVERSE DR, RALEIGH, NC 27609-5933
(919) 413-7192
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
2039
NC
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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