Individual
DR. STEPHANIE ANN CANADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1530 N GREGSON ST, SUITE 3A, DURHAM, NC 27701-1155
(919) 416-1830
(919) 416-8883
Mailing address
600 MAHONE ST, APT # 7, DURHAM, NC 27713-8929
(312) 203-3676
(919) 416-8883
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3311
NC
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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