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NPI Code Detail

MEDICARE: WENDY A CAUDLE

MEDICARE: WENDY A CAUDLE
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
1106H00000XMarriage & Family TherapistNC

General Provider Information

NPI Number : 1073382685
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY A CAUDLE
Provider Business Mailing Address
First Line : PO BOX 446
Second Line :
City : ALBEMARLE
State : NC
Zip : 28002-0446
Country : US
Telephone Number : 704-244-1011
Fax Number : 704-985-1341
Provider Business Practice Location Address
First Line : 124 E NORTH ST
Second Line :
City : ALBEMARLE
State : NC
Zip : 28001-4048
Country : US
Telephone Number : 704-985-1088
Fax Number : 704-985-1341
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2023
Last Update Date : 01/17/2025

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Directions to “ WENDY A CAUDLE ” Practice Location

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