Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 2321 | NC |
NPI | 1083629745 |
---|---|
Provider Name | Dr. Judith Claire Holder-Cooper |
First Address | Durham, NC 27705-4640 |
Second Address | Durham, NC 27705-4640 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2006 |
Last Update Date | 03/02/2010 |