DR. DOUGLAS L WALDRUFF PHD NPI 1982817086

NPI Information

NPI: 1982817086
Provider Name: DR. DOUGLAS L WALDRUFF, PHD
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
331 MARTIN LUTHER KING JR DR
GREENSBORO, NC
ZIP 27406
Phone: (336) 273-0841
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DR. Douglas L Waldruff, PHD is a professional counselor in Greensboro, NC. DR. Douglas L Waldruff, PHD NPI is 1982817086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

331 MARTIN LUTHER KING JR DR
GREENSBORO, NC
ZIP 27406-620
Phone: (336) 273-0841

The enumeration date for this NPI number is 5/7/2007 and was last updated on 2/15/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist		426	NORTH CAROLINA	No
2	101YP2500X	Counselor	Professional	2236	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1132V	OTHER	NORTH CAROLINA	BCBS PROVIDER NUMBER
2	6104214	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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