Milicia a. Tedder

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MILICIA A. TEDDER

Doing business as

Milicia A. Tedder

Practice address

115 E Harden St Ste 103
Graham, NC 27253-3001

Phone

(336) 569-0420

NPI assigned

Mar 10, 2022

Organization subpart

No

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

Authorized official

Name

Milicia TedderNPI 1457593683

Title

Lpa

Phone

(336) 569-0420

Specialties & licenses 1

Addresses

Other names 1

• Milicia A. Tedder Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Milicia Tedder

  • Clinical Psychologist
  • Durham, NC
  • NPI 1457593683
  NPD Authorized official

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1184372914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4093 DUNKIRK DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272150106",
            "telephone_number": "919-697-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E HARDEN ST STE 103",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272533001",
            "telephone_number": "336-569-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILICIA A. TEDDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "TEDDER",
        "authorized_official_first_name": "MILICIA",
        "authorized_official_title_or_position": "LPA",
        "authorized_official_telephone_number": "336-569-0420"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milicia A. Tedder",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Paige McCaughan, PHARMD
• Amy Kathryn McMillion, DPT
• Tiffany McOwen
• Rudolph Arthur McPherson Sr.
• Alison McWilliams, RPH
• Nathaniel Edward Mitchum, DMD
• Brian Moyer
• Lori Moyer
• Heather Mueller, SLP
• Mark Aaron Mullins, PT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Graham, NC
• Providers in Graham, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.