Provider Demographics
NPI:1215776315
Name:MURRAY-DEDMOND, LUCINDA MARI (LPA)
Entity type:Individual
Prefix:
First Name:LUCINDA
Middle Name:MARI
Last Name:MURRAY-DEDMOND
Suffix:
Gender:F
Credentials:LPA
Other - Prefix:
Other - First Name:LUCINDA
Other - Middle Name:M
Other - Last Name:DEDMOND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPA
Mailing Address - Street 1:340 E CONNECTICUT AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-5602
Mailing Address - Country:US
Mailing Address - Phone:910-215-6281
Mailing Address - Fax:
Practice Address - Street 1:340 E CONNECTICUT AVE
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-5602
Practice Address - Country:US
Practice Address - Phone:910-215-6281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1291103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist