Individual
MRS. CHERYL HAUCK CRYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPA
Contact information
Practice address
217 N 5TH AVE STE 102, WILMINGTON, NC 28401-4269
(910) 409-1319
(910) 399-1113
Mailing address
313 SOUTH GREENE STREET, SUITE 201B, GREENSBORO, NC 27401-2759
(910) 409-1319
(910) 399-1113
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2421
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107117
—
NC
Enumeration date
02/18/2007
Last updated
11/20/2012
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