Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 2555 | NC |
N | 103T00000X | Psychologist | 2555 | NC |
N | 102L00000X | Psychologist | PS 007133-L | PA |
N | 103T00000X | Psychologist | PS 007133-L | PA |
N | 103TA0700X | Adult Development & Aging Psychologist | 2555 | NC |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 2555 | NC |
N | 103TC1900X | Counseling Psychologist | 2555 | NC |
N | 103TF0000X | Family Psychologist | 2555 | NC |
Y | 103TF0200X | Forensic Psychologist | 2555 | NC |
N | 103TH0100X | Health Service | 2555 | NC |
N | 103TM1800X | Intellectual & Developmental Disabilities | 2555 | NC |
N | 103TP2701X | Group Psychotherapist | 2555 | NC |
N | 103TR0400X | Rehabilitation Psychologist | 2555 | NC |
NPI | 1023196664 |
---|---|
Provider Name | Dr. Nancy E. Laney |
First Address | Durham, NC 27707-5574 |
Second Address | Durham, NC 27707-5574 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 01/08/2007 |