Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 3328 | NC |
NPI | 1043532005 |
---|---|
Provider Name | Mrs. Camela Sherrill Barker |
First Address | Raleigh, NC 27610-5390 |
Second Address | Durham, NC 27713-7512 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2010 |
Last Update Date | 07/01/2015 |