Individual
DR. SUTAPA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6114 FAYETTEVILLE RD STE 109, DURHAM, NC 27713-6284
(919) 942-4424
(919) 942-4440
Mailing address
6114 FAYETTEVILLE RD STE 109, DURHAM, NC 27713-6284
(919) 942-4424
(919) 942-4440
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3006
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUTAPA FORDN/A1376
—
NC
Enumeration date
11/14/2006
Last updated
11/29/2023
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