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Individual

DR. PATRICIA ANN DINAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH. D.

Contact information

Practice address
2157 MCCLINTOCK RD, CHARLOTTE, NC 28205-5141
(704) 661-1833
(704) 344-0078
Mailing address
1726 MECKLENBURG AVE, CHARLOTTE, NC 28205-2447
(704) 333-4069

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2484
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
045X9
BLUE CROSS BLUE SHIELD
NC
05
6000752
NC
01
7795745
AETNA
NC
Enumeration date
06/20/2006
Last updated
07/08/2007
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