Individual
KATHERINE R BREDEHOEFT
Active
Individual
KATHERINE R BREDEHOEFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2726
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045M3
BLUE CROSS BLUE SHIELD
NC
01
—
202850
COMPSYCH
NC
01
—
265366
MANGED HEALTH NETWORK
NC
05
—
6000267
—
NC
01
—
E1468
MEDCOST
NC
Enumeration date
01/16/2006
Last updated
11/08/2020
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