Individual
AUSTIN TYLER NEDVED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 MEETING ST, INDIAN TRAIL, NC 28079-6582
(980) 292-1793
Mailing address
10315 MONROVIA DR APT 308, MATTHEWS, NC 28105-5578
(336) 409-9131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16185
NC
Other
Enumeration date
09/05/2021
Last updated
11/02/2021
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