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Individual

DR. ANNE LUTHER MAULDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
704 CROMWELL DR STE B, GREENVILLE, NC 27858-5894
(252) 215-0046
(252) 215-0044
Mailing address
704 CROMWELL DR STE B, GREENVILLE, NC 27858-5894
(252) 215-0046
(252) 215-0044

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2854
NC
103TC1900X
Counseling Psychologist
2854
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
045XF
BLUE CROSS BLUE SHIELD
NC
05
6000375
NC
Enumeration date
03/01/2007
Last updated
05/31/2024
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