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Individual

JAMES BYASSEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
18 W COLONY PL, SUITE 280, DURHAM, NC 27705-5582
(919) 493-2674
(919) 493-1923
Mailing address
107 E POPLAR AVE, CARRBORO, NC 27510-1709

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
535
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6000114
NC
Enumeration date
02/28/2007
Last updated
07/08/2007
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