Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 2215 | NC |
N | 103TC0700X | Clinical Psychologist | 2215 | NC |
N | 103TC1900X | Counseling Psychologist | 2215 | NC |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 2215 | NC |
NPI | 1073683447 |
---|---|
Provider Name | Janine Marie Szymanski |
First Address | Hickory, NC 28602 |
Second Address | Hickory, NC 28602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6107235 | (05) | NC |