Individual
KEVIN RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144
(702) 638-9000
Mailing address
210 SUNSET DR APT 224, SALISBURY, NC 28147-7144
(701) 260-2421
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
06/05/2015
Last updated
07/10/2018
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