Vicky Gaye Surratt in Winston Salem - Psychologist

Vicky Gaye Surratt - NPI 1154406411

Vicky Gaye Surratt is a Psychologist in Winston Salem, North Carolina. Vicky Gaye Surratt practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Vicky Gaye Surratt is 1154406411. The last update date is 2012-12-10.

Vicky Gaye Surratt's current location address is 125 Ashleybrook Square, Winston Salem, North Carolina. You can contact this provider via phone number 3367656577. The mailing address for Vicky Gaye Surratt is 125 Ashleybrook Square, Winston Salem, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Vicky Gaye Surratt
Address 125 Ashleybrook Square, Winston Salem, North Carolina
Phone Number 3367656577
Fax Number
Sole Proprietor N
Credentials MA FNP-BC

NPI Number Detail

NPI Number 1154406411
Provider Enumeration Date 2006-10-26
Last Updated Date 2012-12-10

Provider Mailing Address Detail

Address 125 Ashleybrook Square
City Winston Salem
State North Carolina (NC)
Post Code 27103
Phone Number 3367656577
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 1272
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6005004 NC --

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FAQs about Vicky Gaye Surratt

What is the unique provider identifier assigned to Vicky Gaye Surratt?

The Vicky Gaye Surratt has been issued the NPI (National Provider Identifier) 1154406411 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Vicky Gaye Surratt is physically located?

The Vicky Gaye Surratt is physically situated at the following address: 125 Ashleybrook Square, Winston Salem, NC, 27103.

What is the Vicky Gaye Surratt's specialty and taxonomy code?

The Vicky Gaye Surratt's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1154406411 to Vicky Gaye Surratt?

The Centers for Medicare & Medicaid Services assigned the 1154406411 to Vicky Gaye Surratt on 2006-10-26.

As of what date were the details pertaining to Vicky Gaye Surratt last refreshed?

The information related to the Vicky Gaye Surratt, including its address, specialty, and other relevant details, was last updated on 2012-12-10.

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