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NPI Code Detail

MEDICARE: DR. EDWARD C. DEWINDT-ROBSON PH.D

MEDICARE: DR. EDWARD C. DEWINDT-ROBSON PH.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist1467NC

General Provider Information

NPI Number : 1467494971
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD C. DEWINDT-ROBSON PH.D
Provider Business Mailing Address
First Line : 1311 WESTBROOK PLAZA DR
Second Line : SUITE 100
City : WINSTON SALEM
State : NC
Zip : 27103-1327
Country : US
Telephone Number : 336-659-8202
Fax Number : 336-659-8206
Provider Business Practice Location Address
First Line : 1311 WESTBROOK PLAZA DR
Second Line : SUITE 100
City : WINSTON SALEM
State : NC
Zip : 27103-1327
Country : US
Telephone Number : 336-659-8202
Fax Number : 336-659-8206
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2006
Last Update Date : 09/14/2007

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