| Raleigh Psychological Associates | |
|
122 W Vernon Ave Wake Forest NC 27587-2816 | |
| (919) 274-4476 | |
| (919) 554-9232 |
| Full Name | Raleigh Psychological Associates |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 122 W Vernon Ave, Wake Forest, North Carolina |
| Authorized Official Name and Position | Jackelin Jennifer Veloz Jefferson (OWNER) |
| Authorized Official Contact | 9192744476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raleigh Psychological Associates 122 W Vernon Ave Wake Forest NC 27587-2816 Ph: (919) 274-4476 | Raleigh Psychological Associates 122 W Vernon Ave Wake Forest NC 27587-2816 Ph: (919) 274-4476 |
| NPI Number | 1760862262 |
|---|---|
| Provider Enumeration Date | 06/01/2015 |
| Last Update Date | 06/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760862262 | NPI | - | NPPES |
| 6107214 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 2501 (North Carolina) | Primary |
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