Private Diagnostic Clinic, Pllc
NPI #1649757568 in Durham, North Carolina
Provider Information
- NPI Number
- 1649757568
- Entity Type
- Organization
- Organization Name
- Private Diagnostic Clinic, Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PRIVATE DIAGNOSTIC CLINIC, PLLC
- Primary Specialty
- Psychologist
- Enumeration Date
- Jul 24, 2018
- Last Updated
- Jul 11, 2022
Practice Location
- Address
- 40 DUKE MEDICINE CIR
- City
- Durham
- State
- North Carolina
- ZIP Code
- 27710-4000
- Phone
- (919) 620-4700
Authorized Official
- Name
- CHRISTOPHER THOMAS FREDERICK
- Title
- CFO
- Phone
- (919) 613-7762
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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