MEDICARE: RHONDA CARDINALE LPA

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
1	103T00000X	Psychologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1394J	OTHER	NC	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	201993041	OTHER	NC	TAX ID

General Provider Information

NPI Number	:	1174590830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA CARDINALE LPA

Provider Business Mailing Address
First Line	:	215 LAFOLLETTE DR
Second Line	:
City	:	WINTERVILLE
State	:	NC
Zip	:	28590-9088
Country	:	US
Telephone Number	:	866-584-9382
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 LAFOLLETTE DR
Second Line	:
City	:	WINTERVILLE
State	:	NC
Zip	:	28590-9088
Country	:	US
Telephone Number	:	866-584-9382
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2006
Last Update Date	:	07/23/2024

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Directions to “ RHONDA CARDINALE LPA” Practice Location

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