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KRISTINE MARIE HERFKENS PH.D.

Clinical Neuropsychologist

Durham, North Carolina

Provider NPI: 1023104254

Provider Information:
 KRISTINE MARIE HERFKENS PH.D.
Gender: F
Sole Proprietor


Practice Location:
3310 CROASDAILE DR STE 400  DURHAM, NC 27705 US
Tel: 919-384-9682  Fax: --

Business Mailing Address:
3310 CROASDAILE DR STE 400  DURHAM, NC 27705 US
Tel: 919-384-9682  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NC2192

Other Provider Identifiers:

IssuerNumberStateType
6000514NC05
BLUE CROSS BLUE SHIELD0376XNC01
AETNA5648716NC01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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