Individual
DR. CAROLYN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1801 FAYETTEVILLE ST, DURHAM, NC 27707-3129
(919) 530-5294
(919) 530-5270
Mailing address
1208 GRANDOVER DR, DURHAM, NC 27713-6085
(919) 282-2115
(919) 530-5270
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3097
NC
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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