Individual
DOROTHY MARIE DATOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1103 N ELM ST, GREENSBORO, NC 27401-6309
(336) 272-6161
(336) 271-3724
Mailing address
801 N 13TH ST, HERRIN, IL 62948-3246
(336) 970-8821
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103595
NC
103TB0200X
Cognitive & Behavioral Psychologist
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Other
Enumeration date
06/29/2022
Last updated
07/02/2024
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