| Anne L Mauldin, Ph.d., Pa | |
|
704 Cromwell Dr Ste B Greenville NC 27858-5894 | |
| (252) 215-0046 | |
| (252) 215-0044 |
| Full Name | Anne L Mauldin, Ph.d., Pa |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 704 Cromwell Dr Ste B, Greenville, North Carolina |
| Authorized Official Name and Position | Anne L Mauldin (PRESIDENT, LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2522150046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anne L Mauldin, Ph.d., Pa 704 Cromwell Dr Ste B Greenville NC 27858-5894 Ph: (252) 215-0046 | Anne L Mauldin, Ph.d., Pa 704 Cromwell Dr Ste B Greenville NC 27858-5894 Ph: (252) 215-0046 |
| NPI Number | 1689820235 |
|---|---|
| Provider Enumeration Date | 08/14/2008 |
| Last Update Date | 08/14/2008 |
| Medicare PECOS PAC ID | 8325114630 |
|---|---|
| Medicare Enrollment ID | O20080911000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689820235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2854 (North Carolina) | Primary |
| Provider Name | Anne L Mauldin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710015813 PECOS PAC ID: 4789750092 Enrollment ID: I20080911000145 |
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