Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 2962 | NC |
NPI | 1093747792 |
---|---|
Provider Name | Dr. Tamara L. Share |
First Address | Durham, NC 27705-5582 |
Second Address | Durham, NC 27705-5582 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 08/07/2007 |