Individual provider · Type 1 NPI

Jacita Booker Petway, PSY.D.

Psychologist · Huntersville, NC

NPI number 1477796316 Active

Practice location

13815 Professional Center Dr Ste 100
Huntersville, NC 28078-7951

Mailing address

284 Executive Park Dr Ste 100
Concord, NC 28025-1833

Other practice locations

  • 1000 N 1st St Ste 1, Albemarle, NC 28001-2819 · (704) 938-2117

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X7089 (NC)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1477796316

Jacita Booker Petway, PSY.D.'s National Provider Identifier is 1477796316, issued on Apr 8, 2009. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Huntersville, NC. The record was last updated on Jun 9, 2026.