Provider Demographics
NPI:1700031929
Name:SKOWRONEK, IRENE BELLE (PHD)
Entity type:Individual
Prefix:DR
First Name:IRENE
Middle Name:BELLE
Last Name:SKOWRONEK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:IRENE
Other - Middle Name:BELLE
Other - Last Name:JANIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:3805 UNIVERSITY DR
Mailing Address - Street 2:STE D
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6206
Mailing Address - Country:US
Mailing Address - Phone:919-886-5822
Mailing Address - Fax:
Practice Address - Street 1:3805 UNIVERSITY DR
Practice Address - Street 2:STE D
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6206
Practice Address - Country:US
Practice Address - Phone:919-886-5822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-02
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC102968103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical