Individual
VITO GUERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5003 SOUTHPARK DR STE 110, DURHAM, NC 27713-9414
(919) 544-0020
Mailing address
15 SWALLOWS RIDGE CT, DURHAM, NC 27713-9016
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3891
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107334
—
NC
Enumeration date
02/26/2007
Last updated
12/30/2009
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