| Eating Disorders Clinic | |
|
1000 Trent Dr Durham NC 27710-0001 | |
| (919) 684-8111 | |
| Not Available |
| Full Name | Eating Disorders Clinic |
|---|---|
| Speciality | Psychologist |
| Location | 1000 Trent Dr, Durham, North Carolina |
| Authorized Official Name and Position | James Scott Gibson (EXECUTIVE VICE DEAN ADMINISTRATION) |
| Authorized Official Contact | 9196843945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eating Disorders Clinic Po Box 110566 Durham NC 27709-5566 Ph: (919) 620-4855 | Eating Disorders Clinic 1000 Trent Dr Durham NC 27710-0001 Ph: (919) 684-8111 |
| NPI Number | 1760528939 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 09/12/2023 |
| Certification Date | 09/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760528939 | NPI | - | NPPES |
| 013X2 | Other | NC | BCBS NON PAR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (North Carolina) | Secondary |
| 103T00000X | Psychologist | (North Carolina) | Primary |
| 1041C0700X | Social Worker - Clinical | (North Carolina) | Secondary |
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