Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 1719 | NC |
N | 103T00000X | Psychologist | 1719 | NC |
N | 103G00000X | Clinical Psychologist | 1719 | NC |
N | 103TC0700X | Clinical Psychologist | 1719 | NC |
N | 103TP2701X | Group Psychotherapist | 1719 | NC |
NPI | 1043272354 |
---|---|
Provider Name | Dr. Jo Ellen Gaffney |
First Address | Salisbury, NC 28144-2515 |
Second Address | Salisbury, NC 28144-2515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 08/07/2007 |