Organization
PROJECT YES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA KHOLODKOV PH.D. (OWNER)
(919) 355-5633
Entity
Organization
Contact information
Practice address
1800 MARTIN LUTHER KING PKWY STE 100, DURHAM, NC 27707-3500
(919) 355-5633
Mailing address
1521 N DUKE ST, DURHAM, NC 27701-1238
(919) 355-5633
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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