Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | A11445 | NC |
NPI | 1003294471 |
---|---|
Provider Name | Dr. Anita Bhat |
First Address | Durham, NC 27703-6281 |
Second Address | Durham, NC 27703-6281 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2015 |
Last Update Date | 18/05/2015 |