Milicia Tedder

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3735 Issued in NC

Legal business name

MILICIA TEDDER

Practice address

2004 Spring Creek Dr
Durham, NC 27704-4795

Phone

(919) 697-1674

NPI assigned

Apr 3, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Milicia Tedder

Title

Licensed Psychological Associate

Phone

(919) 697-1674

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1013335348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 SPRING CREEK DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277044795",
            "telephone_number": "919-697-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 SPRING CREEK DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277044795",
            "telephone_number": "919-697-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILICIA TEDDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "TEDDER",
        "authorized_official_first_name": "MILICIA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGICAL ASSOCIATE",
        "authorized_official_telephone_number": "919-697-1674"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "3735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Elena Mikle, NP
• Helen M Mikul, CNM
• Angelo Milazzo Jr., M.D.
• Emily Miles
• Milestones Healthcare Services
• Drew William Millar, MD
• Millennium Neurology PLLC
• Millennium Payor Contracting North Carolina, LLC
• Millennium Physician Group of NC, PLLC
• Andrea B Miller, PT

• Community/Behavioral Health Agency in Durham, NC
• Providers in Durham, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.