Cedric Dean, CPP
Prevention Professional in Charlotte, NC. Individual provider (NPI-1).
NPI number1114647013
StatusActive
Last updated in NPPESJun 24, 2024
Details
- NPI
- 1114647013
- Entity type
- Individual (NPI-1)
- Name
- Cedric Dean
- Credential
- CPP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2022
- Certification date
- Jun 24, 2024
- Last updated
- Jun 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 405300000X | Prevention Professional | 2021877201 | NC | Yes |
| 171WH0202X | Contractor, Home Modifications | 2021877201 | NC | |
| 251K00000X | Public Health or Welfare | 2021877201 | NC | |
| 305R00000X | Preferred Provider Organization | 2021877201 | NC |
Other names
- Cedric Dean (Professional Name)
Practice location
2001 Catherine Simmons AveCharlotte, NC 28216-4677
Phone 704-492-1533
Mailing address
5502 McChesney DrCharlotte, NC 28269-7188
Phone 704-492-5509
Other practice locations
1712 S Lafayette St
Shelby, NC 28152-7151
Shelby, NC 28152-7151
Phone 704-492-5509
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