Individual
DR. JASON ALAN NIEUWSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
1124 SOURWOOD DR, CHAPEL HILL, NC 27517-4915
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4064
NC
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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