Individual
DR. NICHOLAS DALE FOGLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
101 RENEE LYNN CT, CARRBORO, NC 27510-6511
(919) 966-5171
(919) 966-2230
Mailing address
3219 OXFORD DR, DURHAM, NC 27707-3844
(402) 305-3800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103414
NC
103TC0700X
Clinical Psychologist
103414
NC
103TC2200X
Clinical Child & Adolescent Psychologist
103414
NC
Other
Enumeration date
11/23/2021
Last updated
02/21/2022
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