Healthcare Provider Details

I. General information

NPI: 1720038912
Provider Name (Legal Business Name): JOHNNA WEBB PILIPCHUK MA, LPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 01/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 PROVIDENCE RD SUITE 9
CHAPEL HILL NC
27514-2206
US

IV. Provider business mailing address

1512 US HIGHWAY 70 E
HILLSBOROUGH NC
27278-8478
US

V. Phone/Fax

Practice location:
  • Phone: 919-270-1991
  • Fax: 919-732-4796
Mailing address:
  • Phone: 919-270-1991
  • Fax: 919-732-4796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number1967
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: