| Durham Dbt, Inc. | |
|
5850 Fayetteville Rd Suite 201 Durham NC 27713-6289 | |
| (919) 627-8675 | |
| Not Available |
| Full Name | Durham Dbt, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5850 Fayetteville Rd, Durham, North Carolina |
| Authorized Official Name and Position | Sammy Fawzy Banawan (PRESIDENT) |
| Authorized Official Contact | 9196278675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Durham Dbt, Inc. 5850 Fayetteville Rd Suite 201 Durham NC 27713-6289 Ph: (919) 627-8675 | Durham Dbt, Inc. 5850 Fayetteville Rd Suite 201 Durham NC 27713-6289 Ph: (919) 627-8675 |
| NPI Number | 1417390444 |
|---|---|
| Provider Enumeration Date | 04/09/2013 |
| Last Update Date | 04/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417390444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
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