Individual
DR. CAROL J TADEUSIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3622 LYCKAN PKWY, DURHAM, NC 27707-2564
(919) 489-3151
Mailing address
3622 LYCKAN PKWY, DURHAM, NC 27707-2564
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1544
NC
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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