Most Relevant Information
Provider Data
| NPI Number: | 1003025685 |
| Provider Name: | BETTY-SHANNON PREVATT M.A., LPA |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 2425 |
Most Important Dates
| Enumeration Date: | 05/21/2007 |
| Last Updated: | 04/16/2008 |
Provider Practice Location
2601 LAKE DR
SUITE 103
RALEIGH
NC
276076688
Practice Location Phone/Fax
| Phone: | 9196123348 |
| Fax: | 9197821399 |
Provider Mailing Location
115 MARSHFIELD PL
CARY
NC
275134972
Provider Mailing Phone/Fax
| Phone: | 9196123348 |
| Fax: | 9197821399 |