| Osvold Psychotherapy & Testing, Inc. | |
|
5500 Mcneely Dr Suite 101 Raleigh NC 27612-7623 | |
| (919) 787-1240 | |
| (919) 787-1241 |
| Full Name | Osvold Psychotherapy & Testing, Inc. |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 5500 Mcneely Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Lise Leigh Osvold (PRESIDENT) |
| Authorized Official Contact | 9197871240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osvold Psychotherapy & Testing, Inc. 913 W South St Raleigh NC 27603-2159 Ph: (919) 787-1240 | Osvold Psychotherapy & Testing, Inc. 5500 Mcneely Dr Suite 101 Raleigh NC 27612-7623 Ph: (919) 787-1240 |
| NPI Number | 1639259112 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639259112 | NPI | - | NPPES |
| 6000547 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 2675 (North Carolina) | Primary |
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