Organization
DURHAM DBT, INC.
Active
Organization
DURHAM DBT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMMY FAWZY BANAWAN PH.D. (PRESIDENT)
(919) 627-8675
Entity
Organization
Contact information
Practice address
5850 FAYETTEVILLE RD, SUITE 201, DURHAM, NC 27713-6289
(919) 627-8675
Mailing address
5850 FAYETTEVILLE RD, SUITE 201, DURHAM, NC 27713-6289
(919) 627-8675
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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