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Contact Information

BETTY SHANNON PREVATT, M.A., LPA
2601 LAKE DR
SUITE 103
RALEIGH, NC27607-6688
 Phone: 919-612-3348
 Fax: 919-782-1399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BETTY SHANNON PREVATT · (Female)

NPI Number 1003025685
Status Active
Credentials M.A., LPA
Entity Individual
Enumeration date 05/21/2007
Last updated 04/16/2008 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 2425
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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