Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 5504 | NC |
Y | 103T00000X | Psychologist | 5504 | NC |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 5504 | NC |
N | 103G00000X | Clinical Psychologist | 5504 | NC |
N | 103TC0700X | Clinical Psychologist | 5504 | NC |
N | 103TC1900X | Counseling Psychologist | 5504 | NC |
NPI | 1104479476 |
---|---|
Provider Name | Ms. Fatimah Rahmah Nubee |
First Address | Durham, NC 27713-8270 |
Second Address | Durham, NC 27713-6623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2019 |
Last Update Date | 16/07/2019 |