Organization
DURHAM PEDIATRIC PSYCHOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY EVERS-SZOSTAK PH.D. (PRESIDENT)
(919) 220-8817
Entity
Organization
Contact information
Practice address
2609 N DUKE ST, SUITE 1000, DURHAM, NC 27704-3048
(919) 220-8817
Mailing address
2609 N DUKE ST, SUITE 1000, DURHAM, NC 27704-3048
(919) 220-8817
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0188
NC
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
0188
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0128A
BCBS
NC
Enumeration date
05/25/2007
Last updated
09/11/2025
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