Individual
DR. JASMINE TI IRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
210 W LAVENDER AVE, DURHAM, NC 27704-4251
(919) 302-2308
Mailing address
210 W LAVENDER AVE, DURHAM, NC 27704-4251
(919) 302-2308
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4548
NC
Other
Enumeration date
06/27/2012
Last updated
12/09/2014
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