MEDICARE: JOANNA SCHECHNER PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	4706	NC
2	103TC0700X	Clinical Psychologist	4706	NC

General Provider Information

NPI Number	:	1518357383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNA SCHECHNER PSY.D.

Provider Business Mailing Address
First Line	:	10580 LIGON MILL RD
Second Line	:	210
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-6090
Country	:	US
Telephone Number	:	919-263-9592
Fax Number	:

Provider Business Practice Location Address
First Line	:	10580 LIGON MILL RD
Second Line	:	210
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-4575
Country	:	US
Telephone Number	:	919-263-9592
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2015
Last Update Date	:	01/28/2019

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