| Malik Salaam Muhammad | |
|
405 Guy Walker Way Durham NC 27703 | |
| (800) 984-3167 | |
| Not Available |
| Full Name | Malik Salaam Muhammad |
|---|---|
| Speciality | Psychologist - Health |
| Location | 405 Guy Walker Way, Durham, North Carolina |
| Authorized Official Name and Position | Malik Muhammad (OWNER) |
| Authorized Official Contact | 6192184637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Malik Salaam Muhammad 405 Guy Walker Way Durham NC 27703-3788 Ph: (800) 984-3167 | Malik Salaam Muhammad 405 Guy Walker Way Durham NC 27703 Ph: (800) 984-3167 |
| NPI Number | 1982989950 |
|---|---|
| Provider Enumeration Date | 10/20/2011 |
| Last Update Date | 06/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982989950 | NPI | - | NPPES |
| 6107694 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4091 (North Carolina) | Secondary |
| 103TH0004X | Psychologist - Health | 4438 (North Carolina) | Primary |
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