Individual
DAPHNE KENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3224 N COLLEGE RD # C-124, WILMINGTON, NC 28405-8826
(619) 323-9459
Mailing address
3224 N COLLEGE RD # C-124, WILMINGTON, NC 28405-8826
(619) 323-9459
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2734
NC
103TC0700X
Clinical Psychologist
PSY-TL-0400
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000187
—
NC
01
—
P01194345
RR MEDICARE
NC
Enumeration date
06/05/2006
Last updated
01/12/2023
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