Provider Demographics
NPI:1023150562
Name:ZORDICH, PATTI M (PHD)
Entity type:Individual
Prefix:DR
First Name:PATTI
Middle Name:M
Last Name:ZORDICH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1125 KILDAIRE FARM RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4566
Mailing Address - Country:US
Mailing Address - Phone:919-380-1000
Mailing Address - Fax:919-380-1000
Practice Address - Street 1:1125 KILDAIRE FARM RD
Practice Address - Street 2:SUITE 202
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4566
Practice Address - Country:US
Practice Address - Phone:919-380-1000
Practice Address - Fax:919-380-1000
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC3366103T00000X, 103TA0700X, 103TB0200X, 103TC0700X, 103TC1900X, 103TC2200X, 103TF0000X, 103TF0200X, 103TM1800X, 103TP2701X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6000983Medicare UPIN