Individual
DR. THERESE M. HUEHOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33 DARLINGTON AVE, WILMINGTON, NC 28403-1343
(910) 790-5921
(910) 794-1036
Mailing address
33 DARLINGTON AVE, WILMINGTON, NC 28403-1343
(910) 790-5921
(910) 794-1036
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35375
NC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35375
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44376
BLUE CROSS NORTH CAROLINA
NC
05
—
8944376
—
NC
Enumeration date
11/20/2006
Last updated
11/04/2008
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