Individual
ADA N NDUKWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
731 TILGHMAN DR, DUNN, NC 28334-5507
(919) 390-8226
Mailing address
2416 DIQUEDO DR, RALEIGH, NC 27604-1298
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4898
NC
171W00000X
Contractor
4898
NC
373H00000X
Day Training/Habilitation Specialist
8405
NC
Other
Enumeration date
06/10/2008
Last updated
12/13/2016
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