Healthcare Provider Details

I. General information

NPI: 1255391561
Provider Name (Legal Business Name): PATRICIA ANN PELTON PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: PATRICIA ANN PELTON

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 BRENNER AVE VA MEDICAL CENTER
SALISBURY NC
28144-2515
US

IV. Provider business mailing address

6316 FOX TRCE
SALISBURY NC
28147-9724
US

V. Phone/Fax

Practice location:
  • Phone: 704-638-9000
  • Fax:
Mailing address:
  • Phone: 704-639-0745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1841
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number1841
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1841
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number1841
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: