Individual
BARBARA KEITH WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4020 N ROXBORO ST, DUMC BOX 3675, DURHAM, NC 27704-2120
(919) 620-5374
(919) 471-3820
Mailing address
4020 N ROXBORO ST, DURHAM, NC 27704-2120
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1861
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000357
—
NC
Enumeration date
08/19/2006
Last updated
02/01/2017
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