Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jalisa Maynard

Individual provider Clinical Child & Adolescent Psychologist · NPI 1023837663

Jalisa Maynard is a Clinical Child & Adolescent Psychologist in Raleigh, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1520 Beacon Ridge Ct
Raleigh, NC 27610-8820
Phone: (919) 720-3819
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X

Record details

NPI number1023837663
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 9, 2024
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

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