Organization Active NPI

Lara E. Gerrard, Ma, Lpa Psychoeducational Evaluations

  • Clinical Child & Adolescent Psychologist
  • Goldsboro, NC
National Provider Identifier
1144589623
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
LARA E. GERRARD, MA, LPA PSYCHOEDUCATIONAL EVALUATIONS
Practice address
668 N Spence Ave
Goldsboro, NC 27534-4233
Phone
(919) 738-0352
NPI assigned
May 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lara E. Gerrard, MA
Title
Owner
Phone
(919) 738-0352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X Primary

Addresses

Primary practice location

668 N Spence Ave
Goldsboro, NC 27534-4233

Mailing address

668 N Spence Ave
Goldsboro, NC 27534-4233
Phone (919) 738-0352

National Provider Directory

National Provider Directory

Locations

668 N Spence Ave
Goldsboro, NC 27534
Phone (919) 738-0352

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1144589623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 N SPENCE AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344233",
            "telephone_number": "919-738-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 N SPENCE AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344233",
            "telephone_number": "919-738-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARA E. GERRARD, MA, LPA PSYCHOEDUCATIONAL EVALUATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "GERRARD",
        "authorized_official_first_name": "LARA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-738-0352",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.