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CHAMPION & CHAMPION PA INC NPI 1063784304


NPI Information

NPI: 1063784304
Provider Name: CHAMPION & CHAMPION PA INC
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
2609 N DUKE ST
602
DURHAM, NC
ZIP 27704
Phone: (919) 317-4088
Get Directions

CHAMPION & CHAMPION PA INC is a prescribing (medical) psychologist in Durham, NC. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. CHAMPION & CHAMPION PA INC NPI is 1063784304. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2609 N DUKE ST
602
DURHAM, NC
ZIP 27704-048
Phone: (919) 317-4088

The provider's authorized official is Lawrence Champion .
The authorized official title is President and has the following contact phone number (919) 317-4088.

The enumeration date for this NPI number is 2/2/2012 and was last updated on 8/7/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TP0016XPsychologistPrescribing (Medical)19912NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.