Provider Demographics
NPI:1073792958
Name:KURIAN, KYLA MARIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:KYLA
Middle Name:MARIE
Last Name:KURIAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:KYLA
Other - Middle Name:MARIE
Other - Last Name:SAWYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:712 CECIL ST
Mailing Address - Street 2:2122 H. M. MICHAUX SCHOOL OF EDUCATION BUILDING
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-3255
Mailing Address - Country:US
Mailing Address - Phone:919-530-6692
Mailing Address - Fax:919-530-7681
Practice Address - Street 1:712 CECIL ST
Practice Address - Street 2:2122 H. M. MICHAUX SCHOOL OF EDUCATION BUILDING
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-3255
Practice Address - Country:US
Practice Address - Phone:919-530-6692
Practice Address - Fax:919-530-7681
Is Sole Proprietor?:No
Enumeration Date:2007-10-29
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5139101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional