Petway, Jacita Booker
Petway, Jacita Booker is an individual health care provider with primary practice located at 1000 N 1St St Ste 1 , Albemarle NC 28001-2819. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Petway, Jacita Booker can be contacted via phone (704) 938-2117.Contact Information
Primary practice address
1000 N 1St St Ste 1
Albemarle NC 28001-2819
Phone: (704) 938-2117
Fax: (704) 938-2636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LPA# 3738 | North Carolina |
Profile Details
| NPI number | 1477796316 |
|---|---|
| LBN Legal business name | Petway, Jacita Booker |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2009 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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