Individual
DR. JAY IAN FINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
392 DULA SPRINGS ROAD, WEAVERVILLE, NC 28787-8323
(828) 645-7738
(828) 254-0358
Mailing address
392 DULA SPRINGS ROAD, WEAVERVILLE, NC 28787-8323
(828) 645-7738
(828) 254-0358
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1749
NC
103TC0700X
Clinical Psychologist
1749
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000001
—
NC
05
—
6001900
—
NC
Enumeration date
11/10/2005
Last updated
10/24/2018
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