TRIANGLE NEUROPSYCHOLOGY SERVICES, PLLC
Clinical Neuropsychologist
Durham, North Carolina
Provider NPI: 1689625386
Organization Information:Organization Name: TRIANGLE NEUROPSYCHOLOGY SERVICES, PLLC
Organization is not Subpart
Authorized Official: KRISTINE MARIE HERFKENS OWNER 919-3849682
Practice Location:
3310 CROASDAILE DR SUITE 400 DURHAM, NC 27705 US
Tel: 919-384-9682 Fax: 919-384-9683
Business Mailing Address:
3310 CROASDAILE DR SUITE 400 DURHAM, NC 27705 US
Tel: 919-384-9682 Fax: 919-384-9683
Entity Type: Organization
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Organization is not Subpart
Authorized Official: KRISTINE MARIE HERFKENS OWNER 919-3849682
Practice Location:
3310 CROASDAILE DR SUITE 400 DURHAM, NC 27705 US
Tel: 919-384-9682 Fax: 919-384-9683
Business Mailing Address:
3310 CROASDAILE DR SUITE 400 DURHAM, NC 27705 US
Tel: 919-384-9682 Fax: 919-384-9683
Entity Type: Organization
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | NC | 2192 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS BLUE SHIELD | 0376X | NC | 01 |
AETNA | 5648716 | NC | 01 |
6000514 | NC | 05 | |
FIRST HEALTH | 974898 | NC | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin