Individual
MS. TERRI IRELAND SOUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.A.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2253
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046NO
BLUE CROSS BLUE SHIELD
NC
Enumeration date
03/14/2007
Last updated
10/27/2025
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