Provider Demographics
NPI:1538248950
Name:DAVID W. STEWART
Entity type:Organization
Organization Name:DAVID W. STEWART
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:919-286-5051
Mailing Address - Street 1:811 9TH ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4149
Mailing Address - Country:US
Mailing Address - Phone:919-286-5051
Mailing Address - Fax:
Practice Address - Street 1:811 9TH ST
Practice Address - Street 2:SUITE 220
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4149
Practice Address - Country:US
Practice Address - Phone:919-286-5051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1043103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty