Elaine Burgwyn-Bailes, Ph.D
Psychologist in Durham, NC. Individual provider (NPI-1).
NPI number1679697288
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1679697288
- Entity type
- Individual (NPI-1)
- Name
- Elaine Burgwyn-Bailes
- Credential
- Ph.D
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 19, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 2602 | NC | Yes |
Practice location
1502 W Nc Highway 54Suite 603
Durham, NC 27707-5571
Phone 919-419-3110
Mailing address
1502 W Nc Highway 54Suite 603
Durham, NC 27707-5571
Phone 919-419-3110
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