Individual
DR. JADE QI WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3805 UNIVERSITY DR, DURHAM, NC 27707-6206
(612) 819-2778
Mailing address
7 RATCALE LN, DURHAM, NC 27705-3889
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
103315
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103315
CLINICAL PSYCHOLOGY LICENSE
NC
Enumeration date
09/05/2019
Last updated
09/05/2019
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