Individual
MRS. STEPHANIE MARIE NILSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3805 UNIVERSITY DR, STE D, DURHAM, NC 27707-6206
(919) 493-0011
Mailing address
3805 UNIVERSITY DR, STE D, DURHAM, NC 27707-6206
(919) 493-0011
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2449
NC
Other
Enumeration date
06/09/2006
Last updated
05/08/2012
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