Organization Name: | TRIANGLE NEUROPSYCHOLOGY SERVICES, PLLC |
NPI Number: | 1689625386 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRISTINE MARIE HERFKENS (OWNER) |
Mailing Address: | 3310 Croasdaile Dr Suite 400 Durham |
State: | NC US |
Postal Code: | 277056806 |
Phone Number: | 9193849682 |
Fax Number: | 9193849683 |
NPI Enumeration Date: | 05/15/2006 |
NPI Last Update Date: | 02/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 2192 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |