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Organization
DEVELOPING MINDS OF NORTH CAROLINA, PLLC
Active
Organization
DEVELOPING MINDS OF NORTH CAROLINA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY LEE LANDRY M.D. (PARTNER/ MANAGER)
(919) 794-3919
Entity
Organization
Contact information
Practice address
820 BROAD ST, DURHAM, NC 27705-4138
(919) 794-3919
Mailing address
820 BROAD ST, DURHAM, NC 27705-4138
(919) 794-3919
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/14/2008
Last updated
06/25/2010
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