Mitchell Durham is a Clinical in Wilmington, North Carolina. Mitchell Durham practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mitchell Durham is 1154372563. The last update date is 2013-08-08.
Mitchell Durham's current location address is 311-4e Judges Road, Wilmington, North Carolina. You can contact this provider via phone number 9107916767 and fax number 9107916890. The mailing address for Mitchell Durham is 311-4e Judges Road, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitchell Durham |
|---|---|
| Address | 311-4e Judges Road, Wilmington, North Carolina |
| Phone Number | 9107916767 |
| Fax Number | 9107916890 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1154372563 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2013-08-08 |
Provider Mailing Address Detail
| Address | 311-4e Judges Road |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284053655 |
| Phone Number | 9107916767 |
| Fax Number | 9107916890 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 4175 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6001347 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mitchell Durham by the Centers for Medicare & Medicaid Services?
The Mitchell Durham has been issued the NPI (National Provider Identifier) 1154372563 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Mitchell Durham is geographically located?
The Mitchell Durham is physically situated at the following location: 311-4E Judges Road, Wilmington, NC, 284053655.
What is the Mitchell Durham's area of specialization and corresponding taxonomy classification?
The Mitchell Durham's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When was the Mitchell Durham's 1154372563 issued?
The Mitchell Durham's 1154372563 was issued on 2006-05-12.
When was the information regarding Mitchell Durham, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mitchell Durham, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-08-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH