Individual
DR. LORETTA ELAINE BRAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3706 SUNNINGDALE WAY, DURHAM, NC 27707-5684
(919) 423-4324
(919) 489-6365
Mailing address
3706 SUNNINGDALE WAY, DURHAM, NC 27707-5684
(919) 423-4324
(919) 489-6365
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1679
NC
103TC0700X
Clinical Psychologist
Primary
1679
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000707
—
NC
Enumeration date
11/30/2005
Last updated
07/09/2025
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