Healthcare Provider Details

I. General information

NPI: 1003730789
Provider Name (Legal Business Name): RICHARD G TEDESCHI PHD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 LE PHILLIP CT NE STE D
CONCORD NC
28025-1917
US

IV. Provider business mailing address

236 LE PHILLIP CT NE STE D
CONCORD NC
28025-1917
US

V. Phone/Fax

Practice location:
  • Phone: 704-614-1565
  • Fax: 704-342-1884
Mailing address:
  • Phone: 704-614-1565
  • Fax: 704-342-1884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD G TEDESCHI
Title or Position: OWNER
Credential: PH.D.
Phone: 704-614-1565