Healthcare Provider Details

I. General information

NPI: 1124943824
Provider Name (Legal Business Name): BRIANA NICOLE SPIVEY PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4309 MEDICAL PARK DR
DURHAM NC
27704-2388
US

IV. Provider business mailing address

4130 GARRETT RD APT 434
DURHAM NC
27707-2451
US

V. Phone/Fax

Practice location:
  • Phone: 919-668-8277
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number7114
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number7114
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: