Basic Information
| Provider Information | |||||||||
| NPI: | 1518357383 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHECHNER | ||||||||
| FirstName: | JOANNA | ||||||||
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| Credential: | PSY.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10580 LIGON MILL RD | ||||||||
| Address2: | 210 | ||||||||
| City: | WAKE FOREST | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275876090 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9192639592 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10580 LIGON MILL RD | ||||||||
| Address2: | 210 | ||||||||
| City: | WAKE FOREST | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275874575 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9192639592 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2015 | ||||||||
| LastUpdateDate: | 01/28/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | 4706 | NC | N | Behavioral Health & Social Service Providers | Psychologist | 103TC0700X | 4706 | NC | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.