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General NPI Number Information
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NPI Number | 1528923778
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Entity Type | Organization
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Legal Business Name | LITTLE RIVER PSYCHOLOGICAL SERVICES PLLC
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 105 BROOKSIDE CT
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City | FARMINGTON
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State | NM
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Zip | 87401
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Country | US
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Telephone | 919-897-7864
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 REGENCY PKWY
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City | CARY
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State | NC
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Zip | 27518-8549
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Country | US
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Telephone | 919-897-7864
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Fax | 919-887-0463
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Authorized Official
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Title or Position | OWNER, PSYCHOLOGIST
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Name | DR. TERRENCE D JUDD
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Credential | PHD
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Telephone | 919-897-7826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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