Provider Demographics
NPI:1154506525
Name:KUZYSZYN-JONES, KATRINA NOEL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KATRINA
Middle Name:NOEL
Last Name:KUZYSZYN-JONES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5317 HIGHGATE DR
Mailing Address - Street 2:SUITE 213
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-6622
Mailing Address - Country:US
Mailing Address - Phone:919-493-1975
Mailing Address - Fax:866-713-8253
Practice Address - Street 1:5317 HIGHGATE DR
Practice Address - Street 2:SUITE 213
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6622
Practice Address - Country:US
Practice Address - Phone:919-493-1975
Practice Address - Fax:866-713-8253
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-04
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3728103T00000X
NC102749103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist