| Triangle Act Psychology | |
|
103 Brady Ct Ste A Cary NC 27511-4574 | |
| (919) 465-2550 | |
| Not Available |
| Full Name | Triangle Act Psychology |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 103 Brady Ct Ste A, Cary, North Carolina |
| Authorized Official Name and Position | Lorraine Lissemore Matthews (PRESIDENT/PSYCHOLOGIST) |
| Authorized Official Contact | 9194652550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triangle Act Psychology 103 Brady Ct Ste A Cary NC 27511-4574 Ph: (919) 465-2550 | Triangle Act Psychology 103 Brady Ct Ste A Cary NC 27511-4574 Ph: (919) 465-2550 |
| NPI Number | 1689942773 |
|---|---|
| Provider Enumeration Date | 12/05/2011 |
| Last Update Date | 12/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689942773 | NPI | - | NPPES |
| 6001116 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 3218 (North Carolina) | Primary |
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