Individual
PROF. MARY E VANBOURGONDIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27599-0001
(919) 966-8596
(919) 843-5515
Mailing address
143 W FRANKLIN ST, CHAPEL HILL, NC 27516-2539
(919) 966-8596
(919) 843-5515
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
807
NC
Other
Enumeration date
10/10/2006
Last updated
04/23/2021
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