Individual
DR. MARILYN J. VEDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3001 ACADEMY RD STE 240, DURHAM, NC 27707-2653
(919) 493-3457
(919) 493-2290
Mailing address
3001 ACADEMY RD STE 240, DURHAM, NC 27707-2653
(919) 493-3457
(919) 493-2290
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1341
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1341
STATE LICENSURE NUMBER
NC
Enumeration date
11/08/2006
Last updated
07/08/2007
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