Provider Demographics
NPI:1851677546
Name:REDMOND, DEVON HARTFORD (PHD)
Entity Type:Individual
Prefix:DR
First Name:DEVON
Middle Name:HARTFORD
Last Name:REDMOND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:DEVON
Other - Middle Name:FLORA
Other - Last Name:HARTFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:205 SAGE RD. STE. 201
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27574
Mailing Address - Country:US
Mailing Address - Phone:919-942-4166
Mailing Address - Fax:919-942-8693
Practice Address - Street 1:205 SAGE RD. STE. 201
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27574
Practice Address - Country:US
Practice Address - Phone:919-942-4166
Practice Address - Fax:919-942-8693
Is Sole Proprietor?:No
Enumeration Date:2011-10-26
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC102941103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist