Betsy Pedersen Phd PC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Durham, NC. Organization (NPI-2).
NPI number1346665882
StatusActive
Last updated in NPPESFeb 20, 2014
Details
- NPI
- 1346665882
- Entity type
- Organization (NPI-2)
- Legal business name
- Betsy Pedersen Phd PC
- Organization subpart
- No
- Enumeration date
- Feb 20, 2014
- Last updated
- Feb 20, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 1808 | NC | Yes |
Practice location
1502 W Nc Highway 54Suite 603
Durham, NC 27707-5571
Phone 919-923-3278 · Fax 919-419-3110
Mailing address
1502 W Nc Highway 54Suite 603
Durham, NC 27707-5571
Phone 919-923-3278 · Fax 919-419-3110
Authorized official
Elizabeth R Pedersen
President
9199233278
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