NPI 1023837663
Jalisa Maynard
Practice location
- Address
- 1520 Beacon Ridge CT, Raleigh, NC 27610-8820
- Phone
- (919) 720-3819
- Mailing address
- 1520 Beacon Ridge CT APT 202, Raleigh, NC 27610-8822
Registered specialties
Clinical Child & Adolescent Psychologist
Primary
Registry record
- NPI
- 1023837663
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Oct 2024
- Record last updated
- 9 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.