Individual
DR. JASON ANTHONY OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2213 ELBA ST, DURHAM, NC 27705-3934
(919) 668-0093
Mailing address
2608 ERWIN RD STE 300, DURHAM, NC 27705-4597
(919) 668-0093
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5337
NC
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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