Kevin Richard, Ph.D.
Psychologist, Counseling in Salisbury, NC. Individual provider (NPI-1).
NPI number1417337361
StatusActive
Last updated in NPPESJul 10, 2018
Details
- NPI
- 1417337361
- Entity type
- Individual (NPI-1)
- Name
- Kevin Richard
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2015
- Last updated
- Jul 10, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | – | – | Yes |
| 103T00000X | Psychologist | – | – |
Practice location
1601 Brenner AveSalisbury, NC 28144
Phone 702-638-9000
Mailing address
210 Sunset Dr Apt 224Salisbury, NC 28147-7144
Phone 701-260-2421
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Other Counseling Psychologist providers in Salisbury, NC
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