| Wake Psychological Services, Pllc | |
|
9308 Club Hill Dr Raleigh NC 27617-7572 | |
| (919) 308-8470 | |
| (919) 806-0088 |
| Full Name | Wake Psychological Services, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9308 Club Hill Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Tijuana Crosby (PRESIDENT) |
| Authorized Official Contact | 9193088470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wake Psychological Services, Pllc 9308 Club Hill Dr Raleigh NC 27617-7572 Ph: (919) 308-8470 | Wake Psychological Services, Pllc 9308 Club Hill Dr Raleigh NC 27617-7572 Ph: (919) 308-8470 |
| NPI Number | 1306143383 |
|---|---|
| Provider Enumeration Date | 02/28/2011 |
| Last Update Date | 02/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306143383 | NPI | - | NPPES |
| 6107407 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2119 (North Carolina) | Primary |
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