NPI 1093265241

Private Diagnostic Clinic, PLLC

Organisation Psychologist Durham, NC

Practice location

Address: 2200 W Main St STE 340, Durham, NC 27705-4640
Phone: (919) 416-3439
Mailing address: PO Box 110566, Durham, NC 27709-5566

Authorised official

Name: Christopher T Frederick
Title: Cfo
Phone: (919) 620-4918

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X

Other Psychologist providers in North Carolina →

Registry record

NPI: 1093265241
Entity type: Organization
NPI issued: 12 Oct 2016
Record last updated: 13 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.