Loretta Elaine Braxton in Durham - Psychologist
Loretta Elaine Braxton - NPI 1689658072
Loretta Elaine Braxton is a Psychologist in Durham, North Carolina. Loretta Elaine Braxton practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Loretta Elaine Braxton is 1689658072. The last update date is 2007-07-08.
Loretta Elaine Braxton's current location address is 1415 W Nc Highway 54, Durham, North Carolina. You can contact this provider via phone number 9194018090 and fax number 9194018091. The mailing address for Loretta Elaine Braxton is 1415 W Nc Highway 54, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Loretta Elaine Braxton |
|---|---|
| Address | 1415 W Nc Highway 54, Durham, North Carolina |
| Phone Number | 9194018090 |
| Fax Number | 9194018091 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1689658072 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1415 W Nc Highway 54 |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277075577 |
| Phone Number | 9194018090 |
| Fax Number | 9194018091 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1679 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6000707 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Loretta Elaine Braxton by the Centers for Medicare & Medicaid Services?
The Loretta Elaine Braxton has been issued the NPI (National Provider Identifier) 1689658072 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Loretta Elaine Braxton is physically located?
The Loretta Elaine Braxton is situated at the following address: 1415 W Nc Highway 54, Durham, NC 277075577.
What is Loretta Elaine Braxton's area of expertise and its corresponding taxonomy classification?
The Loretta Elaine Braxton's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1689658072 assigned to Loretta Elaine Braxton?
The Loretta Elaine Braxton was issued its 1689658072 on 2005-11-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Loretta Elaine Braxton most recently updated?
The details pertaining to the Loretta Elaine Braxton, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.