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Individual

DR. TERESA E FECTEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
508 FULTON ST, PSYCHOLOGY (116-B), DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
508 FULTON ST, PSYCHOLOGY (116-B), DURHAM, NC 27705-3875
(919) 286-0411

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3588
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
154HJ
BCBSNC
NC
05
6001177
NC
Enumeration date
06/12/2008
Last updated
06/17/2015
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