Individual
MS. EUNICE WANJIRU NGUMBA-GATABAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
839 DURHAM RD STE C, WAKE FOREST, NC 27587-8793
(919) 274-0596
(919) 928-5160
Mailing address
3229 GREENVILLE LOOP ROAD, WAKE FOREST, NC 27587
(919) 274-0596
(919) 373-1595
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2386
NC
103TC0700X
Clinical Psychologist
Primary
2386
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000770
—
NC
Enumeration date
05/18/2006
Last updated
12/09/2020
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