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Individual

DR. COLLEEN BARBARA WENTWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1350 SE MAYNARD RD STE 101, CARY, NC 27511-3634
(603) 933-0934
Mailing address
101 KEYSTONE DR, CARY, NC 27513-2809
(603) 933-0934

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5746
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30424790
NH
Enumeration date
05/08/2007
Last updated
09/17/2025
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