Provider Demographics
NPI:1093082166
Name:DUKE PSYCHOLOGY CLINIC
Entity Type:Organization
Organization Name:DUKE PSYCHOLOGY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:BATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-660-5686
Mailing Address - Street 1:PO BOX 90086
Mailing Address - Street 2:417 CHAPEL DRIVE, SUITE 312
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27708-0086
Mailing Address - Country:US
Mailing Address - Phone:919-660-5770
Mailing Address - Fax:919-660-5648
Practice Address - Street 1:417 CHAPEL DR
Practice Address - Street 2:SUITE 312
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27708-0086
Practice Address - Country:US
Practice Address - Phone:919-660-5770
Practice Address - Fax:919-660-5648
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DUKE UNIVERSITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty