Doctor Name: | DR. PATTI M ZORDICH |
NPI Number: | 1023150562 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 3366 |
Business Practice Address: | 1125 Kildaire Farm Rd Suite 202 Cary, NC - 275114566 |
Business Phone Number: | 9193801000 |
Business Fax Number: | 9193801000 |
Mailing Address: | 1125 Kildaire Farm Rd, Suite 202 CARY |
State: | NC |
Postal Code: | 275114566 |
Phone Number: | 9193801000 |
Fax Number: | 9193801000 |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 08/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0700X |
License Number: | 3366 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Adult Development & Aging |
Taxonomy Definition: |