Provider Demographics
NPI:1427417211
Name:MATHERNE, CAMDEN (PHD)
Entity Type:Individual
Prefix:
First Name:CAMDEN
Middle Name:
Last Name:MATHERNE
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 1:2724 STUART DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-2838
Mailing Address - Country:US
Mailing Address - Phone:336-687-4200
Mailing Address - Fax:
Practice Address - Street 1:UNC DEPARTMENT OF PSYCHIATRY
Practice Address - Street 2:CB #7160
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-843-2483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4942103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical