Basic Information
| Provider Information | |||||||||
| NPI: | 1275965477 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VERDIN | ||||||||
| FirstName: | EMMA | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3 CENTERVIEW DR | ||||||||
| Address2: | PSYCHOTHERAPEUTIC SERVICES | ||||||||
| City: | GREENSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 27407 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3368349964 | ||||||||
| FaxNumber: | 3368349698 | ||||||||
| Practice Location | |||||||||
| Address1: | 3 CENTERVIEW DR | ||||||||
| Address2: | |||||||||
| City: | GREENSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 274073725 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3368349964 | ||||||||
| FaxNumber: | 3368349698 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/30/2013 | ||||||||
| LastUpdateDate: | 07/30/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0809X | 152378 | NC | Y | Nursing Service Providers | Registered Nurse | Psych/Mental Health, Adult |
No ID Information.