Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 5462 | NC |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 5462 | NC |
Y | 103G00000X | Clinical Psychologist | 5462 | NC |
Y | 103TC0700X | Clinical Psychologist | 5462 | NC |
N | 103TE1100X | Exercise & Sports Psychologist | 5462 | NC |
N | 103TF0000X | Family Psychologist | 5462 | NC |
N | 103TH0004X | Health Psychologist | 5462 | NC |
NPI | 1629213798 |
---|---|
Provider Name | Dr. Sondra Brosofske Harry |
First Address | Fairview, NC 28730-8524 |
Second Address | Asheville, NC 28805-8709 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2008 |
Last Update Date | 18/02/2019 |