Individual
TYLER JAMES STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
932 MORREENE RD, DURHAM, NC 27710-0001
(919) 684-8111
Mailing address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3269
NC
Other
Enumeration date
07/12/2007
Last updated
10/05/2007
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