Jalisa Maynard
NPI #1023837663 in Raleigh, North Carolina
Provider Information
- NPI Number
- 1023837663
- Entity Type
- Individual
- Name
- Jalisa Maynard
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical Child & Adolescent
- Enumeration Date
- Oct 9, 2024
- Last Updated
- Oct 9, 2024
Practice Location
- Address
- 1520 BEACON RIDGE CT
- City
- Raleigh
- State
- North Carolina
- ZIP Code
- 27610-8820
- Phone
- (919) 720-3819
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent |
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