Abdur-Razzaq, Shelda J

Abdur-Razzaq, Shelda J is an individual health care provider with primary practice located at 5011 Southpark Dr. 5011 Southpark Dr. Su. 130, Durham NC 27713-6286. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Abdur-Razzaq, Shelda J can be contacted via phone (919) 408-7839.

Contact Information

Primary practice address
5011 Southpark Dr. 5011 Southpark Dr. Su. 130 Durham NC 27713-6286
Phone: (919) 408-7839
Fax: (919) 361-1900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2126 North Carolina

Profile Details

NPI number 1578619334
LBN Legal business name Abdur-Razzaq, Shelda J
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 12th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578619334 NPPES
North Carolina MEDICAID 6102831
North Carolina Other 270858
North Carolina Other 10778
North Carolina Other 274221

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