Male or Other

Dr. Gerald H. Bynum LCSW, PHD

Clinical Social Worker in Shelby, NC(View on Map)

Full Name

Dr. Gerald Heyward Bynum LCSW, PHD

NPI Number

1730472952

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/20/2011

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

C004694

Contact
Information

Purpose

Mailing
Location

Address

1104 HARDIN DR
1104 HARDIN DR

City

Shelby
Shelby

State

NC
NC

Postal Code

28150-3518
28150-3518

Country

US
US

Telephone Number

(704) 487-7583
(704) 487-7583

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/01/2012

Provider Address

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