DR. LAUREN ALEXIS FORMY-DUVAL PSY.D. NPI 1588718530

NPI Information

NPI: 1588718530
Provider Name: DR. LAUREN ALEXIS FORMY-DUVAL, PSY.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
1502 W NC HIGHWAY 54
SUITE 302
DURHAM, NC
ZIP 27707
Phone: (919) 475-9629
Get Directions

DR. Lauren Alexis Formy-duval, PSY.D. is a clinical psychologist in Durham, NC. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Lauren Alexis Formy-duval, PSY.D. NPI is 1588718530. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1502 W NC HIGHWAY 54
SUITE 302
DURHAM, NC
ZIP 27707-571
Phone: (919) 475-9629

The enumeration date for this NPI number is 1/23/2007 and was last updated on 2/10/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	3357	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6001043	MEDICAID	NORTH CAROLINA
2	2397097	OTHER	NORTH CAROLINA	CIGNA
3	14067	OTHER	NORTH CAROLINA	BLUECROSS AND BLUESHIELD

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

NPI Synchronization or Removal

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