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Individual

ERIC E SIPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPA

Contact information

Practice address
3050 11TH AVENUE DR SE, HICKORY, NC 28602-8336
(828) 695-5900
(828) 695-4256
Mailing address
PO BOX 788, MAIDEN, NC 28650-0788
(828) 695-5900
(828) 695-4256

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1156
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140GR
BCBS OF NC
NC
05
6107253
NC
Enumeration date
03/02/2007
Last updated
07/09/2007
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