Individual
MRS. KATRINA P DEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPA
Contact information
Practice address
319 CHAPANOKE RD STE 101, 319 CHAPANOKE RD. STE. 101, RALEIGH, NC 27603-3433
(919) 662-4600
(919) 662-4473
Mailing address
319 CHAPANOKE RD STE 101, 319 CHAPANOKE RD. STE. 101, RALEIGH, NC 27603-3433
(919) 662-4600
(919) 662-4473
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1765
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046-NP
BLUE CROSS BLUE SHIELD
NC
Enumeration date
03/16/2007
Last updated
07/08/2007
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