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Contact Information

PATRICIA W VIVIAN, PHD
6115 PARK SOUTH DR
SUITE 130
CHARLOTTE, NC28210
 Phone: 704-552-0116
 Fax: 704-552-7550
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PATRICIA W VIVIAN · (Female)

NPI # 1528142510
Status Active
Credentials PHD
Entity Individual
Enumeration date 10/25/2006
Last updated 05/02/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 1438
  • NC Medicaid 6000304
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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