Organization
NAHAL C KAIVAN PH D PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAHAL CRYSTAL KAIVAN PHD (PROVIDER/OWNER)
(919) 283-8925
Entity
Organization
Contact information
Practice address
911 BROAD ST, DURHAM, NC 27705-4141
(919) 289-8925
Mailing address
911 BROAD ST, DURHAM, NC 27705-4141
(919) 289-8925
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
11/14/2018
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