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Organization

NORWICH THERAPY ASSOC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEE ANN P TAGGART PHD (OWNER PSYCHOLOGIST)
(252) 353-8990
Entity
Organization

Contact information

Practice address
127A OAKMONT DR, GREENVILLE, NC 27858
(252) 353-8990
(252) 353-5713
Mailing address
127A OAKMONT DR, GREENVILLE, NC 27858
(252) 353-8990
(252) 353-5713

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0224
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
012CK
BLUE CROSS BLUE SHIELD
NC
05
6001905
NC
Enumeration date
05/12/2006
Last updated
08/22/2020
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