Private Diagnostic Clinic, Pllc
NPI #1376093591 in Durham, North Carolina
Provider Information
- NPI Number
- 1376093591
- Entity Type
- Organization
- Organization Name
- Private Diagnostic Clinic, Pllc
- Primary Specialty
- Psychologist
- Enumeration Date
- Oct 12, 2016
- Last Updated
- May 18, 2022
Practice Location
- Address
- 2608 ERWIN RD
- Address 2
- STE 300
- City
- Durham
- State
- North Carolina
- ZIP Code
- 27705-4596
- Phone
- (919) 681-1100
Authorized Official
- Name
- CHRISTOPHER T FREDERICK
- Title
- CFO
- Phone
- (919) 620-4918
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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