Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 2785 | NC |
Y | 103TC0700X | Clinical Psychologist | 2785 | NC |
N | 102L00000X | Psychologist | 2785 | NC |
N | 103T00000X | Psychologist | 2785 | NC |
N | 103TR0400X | Rehabilitation Psychologist | 2785 | NC |
NPI | 1689750754 |
---|---|
Provider Name | Dr. Sandra D Zinn |
First Address | Raleigh, NC 27603-8233 |
Second Address | Durham, NC 27705-3875 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 17/06/2015 |