Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | #86 | NC |
NPI | 1316202799 |
---|---|
Provider Name | Dr. Kathryn A. Summers |
First Address | Durham, NC 27707-6235 |
Second Address | Durham, NC 27707-6235 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2012 |
Last Update Date | 11/07/2012 |