Whalio Doctors

NPI 1053167080

Crystal Marie Rodgers, CPSS

Practitioner Peer Specialist Charlotte, NC

Practice location

Address
756 Tyvola Rd, Charlotte, NC 28217-3588
Phone
(980) 265-1001

Registered specialties

Peer Specialist Primary
Other Service Providers Taxonomy 175T00000X Licence 2022-7765-01 (NC)

Registry record

NPI
1053167080
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Apr 2024
Record last updated
29 Apr 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.