DR. MINDY ERIN PARDOLL


Address: 12 S Lexington Ave Unit 307, Asheville, NC 28801-3323
Phone: 3055197455

DR. MINDY ERIN PARDOLL (NPI# 1164668521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164668521
Entity Type Individual
Full Name DR. MINDY ERIN PARDOLL
Other Name DR. MINDY ERIN PARDOLL
Credential MINDY PARDOLL
Practice Address 12 S Lexington Ave Unit 307
Asheville
NC 28801-3323
Practice Telephone 3055197455
Mailing Telephone 3055197455
Enumeration Date 2009-01-06
Last Update Date 2009-01-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
3687 NC Behavioral Health & Social Service Providers

Office Location

Street Address 12 S LEXINGTON AVE UNIT 307
City ASHEVILLE
State NC
Zip Code 28801-3323

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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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Competitor

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City ASHEVILLE
Zip Code 28801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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