Individual
DR. SUSAN HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3600 UNIVERSITY DR, SUITE B, DURHAM, NC 27707-6207
(919) 401-0052
Mailing address
3600 UNIVERSITY DR, SUITE B, DURHAM, NC 27707-6207
(919) 401-0052
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1856
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0328E
BLUE CROSS BLUE SHIELD
NC
01
—
130943
CIGNA BEHAVIORAL HEALTH
NC
Enumeration date
11/16/2006
Last updated
11/19/2008
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