Individual
JILL ZUKERMAN STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
40 DUKE MEDICINE CIR, DURHAM, NC 27710-4000
(919) 684-8111
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071008138
IL
103TC0700X
Clinical Psychologist
Primary
4136
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6001308
—
NC
01
—
Q36896A
MEDICARE
—
Enumeration date
07/19/2011
Last updated
01/21/2015
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