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Individual

DR. PATRICIA ANN VEDDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., M.F.T., L.P.C

Contact information

Practice address
608 N GREENE ST, GREENSBORO, NC 27401-2024
(336) 273-3900
Mailing address
608 N GREENE ST, GREENSBORO, NC 27401-2024
(336) 273-3900

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1703
CO
101YM0800X
Mental Health Counselor
702
NC
106H00000X
Marriage & Family Therapist
415
CO
106H00000X
Marriage & Family Therapist
Primary
542
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
84879
BCBS PROVIDER #84879
NC
Enumeration date
05/15/2006
Last updated
01/12/2010
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