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Nahal C Kaivan Ph D PLLC

Psychologist, Counseling in Durham, NC. Organization (NPI-2).

NPI number1982171658
StatusActive
Last updated in NPPESNov 14, 2018

Details

NPI
1982171658
Entity type
Organization (NPI-2)
Legal business name
Nahal C Kaivan Ph D PLLC
Organization subpart
No
Enumeration date
Oct 31, 2018
Last updated
Nov 14, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC1900X Psychologist, Counseling––Yes

Practice location

911 Broad St
Durham, NC 27705-4141

Phone 919-289-8925

Mailing address

911 Broad St
Durham, NC 27705-4141

Phone 919-289-8925

Authorized official

Nahal Crystal Kaivan
Provider/Owner
9192838925

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