Provider Demographics
NPI:1760497424
Name:DUKE UNIVERSITY
Entity Type:Organization
Organization Name:DUKE UNIVERSITY
Other - Org Name:DUKE OCCUPATIONAL MENTAL HEALTH PROGRAMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:CLAIRE
Authorized Official - Last Name:HOLDER-COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:919-286-1244
Mailing Address - Street 1:2200 W MAIN ST
Mailing Address - Street 2:SUITE 400A
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4640
Mailing Address - Country:US
Mailing Address - Phone:919-286-1244
Mailing Address - Fax:919-286-1121
Practice Address - Street 1:2200 W MAIN ST
Practice Address - Street 2:SUITE 400A
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4640
Practice Address - Country:US
Practice Address - Phone:919-286-1244
Practice Address - Fax:919-286-1121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty