| Doctor Name: | DR. JANICE R WILMOTH |
| NPI Number: | 1568453645 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD,PSYD,LCAS,CCS |
| License Number: | 3142 |
| Business Practice Address: | 124 W Kapp St Dobson, NC - 270178825 |
| Business Phone Number: | 3364016242 |
| Business Fax Number: | 3363524483 |
| Mailing Address: | 139 Lilly Ln, LOWGAP |
| State: | NC |
| Postal Code: | 270249186 |
| Phone Number: | 3364016242 |
| Fax Number: | 3363524483 |
| NPI Enumeration Date: | 10/29/2005 |
| NPI Last Update Date: | 09/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103G00000X |
| License Number: | 3142 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Clinical Neuropsychologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |