Healthcare Provider Details

I. General information

NPI: 1922926708
Provider Name (Legal Business Name): SELINA SOLVEIG ALEA SCHWERDTFEGER LPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8064 N POINT BLVD STE 208
WINSTON SALEM NC
27106-3235
US

IV. Provider business mailing address

8064 N POINT BLVD STE 208
WINSTON SALEM NC
27106-3235
US

V. Phone/Fax

Practice location:
  • Phone: 336-300-0604
  • Fax:
Mailing address:
  • Phone: 336-300-0604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number7050
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: