Provider Demographics
NPI:1275914418
Name:ZERUBAVEL, NOGA (PHD)
Entity Type:Individual
Prefix:DR
First Name:NOGA
Middle Name:
Last Name:ZERUBAVEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2213 ELBA ST
Mailing Address - Street 2:DUKE UNIVERSITY MEDICAL CENTER, BOX 3026
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-3934
Mailing Address - Country:US
Mailing Address - Phone:919-681-9885
Mailing Address - Fax:
Practice Address - Street 1:2213 ELBA ST
Practice Address - Street 2:DUKE UNIVERSITY MEDICAL CENTER, BOX 3026
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3934
Practice Address - Country:US
Practice Address - Phone:919-681-9885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-13
Last Update Date:2015-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4655103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical