Individual
KRISTIN WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2213 ELBA ST, RM 115, DURHAM, NC 27705-3934
(919) 684-6182
Mailing address
DUMC BOX 3026, DURHAM, NC 27710
(919) 684-6182
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
103181
NC
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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