Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAMIE PETTUS, PSYD
Active Sole ProprietorDR. JAMIE PETTUS, PSYD is a Clinical Psychologist healthcare provider located in WILLOW SPRING, North Carolina. NPI 1548520125 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · WILLOW SPRING, NC
Registration Details
- NPI Number
- 1548520125
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2012 (14.063832357651 yrs)
- Last Updated
- Aug 27, 2024
- Licenses
-
2709 (OR)0810005815 (VA)6537 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6601 BLALOCK FOREST DRWILLOW SPRING, NC, 275928977Browse NC providers · Browse ZIP 27592
- Phone
- 5404470091
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.