Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | P7219 | OH |
N | 103T00000X | Psychologist | P7219 | OH |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 5930 | NC |
NPI | 1063672574 |
---|---|
Provider Name | Jennifer Munoz |
First Address | Durham, NC 27707 |
Second Address | Durham, NC 27707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2008 |
Last Update Date | 01/09/2021 |