Individual
DR. MIRA BRANCU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
508 FULTON ST, DURHAM VAMC, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
112 PRIMROSE LN, CARRBORO, NC 27510-5574
(919) 240-4278
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4061
NC
103TC0700X
Clinical Psychologist
4061
NC
284300000X
Special Hospital
4061
NC
Other
Enumeration date
08/07/2007
Last updated
01/25/2011
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