Provider Demographics
NPI:1861674830
Name:AKSAVRIN, BERRIN BOZOGLU (PHD)
Entity Type:Individual
Prefix:DR
First Name:BERRIN
Middle Name:BOZOGLU
Last Name:AKSAVRIN
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 1:1261 PEACH ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:FOUR OAKS
Mailing Address - State:NC
Mailing Address - Zip Code:27524-9148
Mailing Address - Country:US
Mailing Address - Phone:919-934-8288
Mailing Address - Fax:919-934-8288
Practice Address - Street 1:1261 PEACH ORCHARD RD
Practice Address - Street 2:
Practice Address - City:FOUR OAKS
Practice Address - State:NC
Practice Address - Zip Code:27524-9148
Practice Address - Country:US
Practice Address - Phone:919-934-8288
Practice Address - Fax:919-934-8288
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1328103TB0200X, 103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities