| Western Wake Counseling & Psychological Services, Pllc | |
|
8000 Regency Pkwy Suite 570 Cary NC 27518-8582 | |
| (919) 467-3831 | |
| (919) 467-1611 |
| Full Name | Western Wake Counseling & Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 8000 Regency Pkwy, Cary, North Carolina |
| Authorized Official Name and Position | Tammie Ducre Moore (OWNER) |
| Authorized Official Contact | 9194673831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Wake Counseling & Psychological Services, Pllc 8000 Regency Pkwy Suite 570 Cary NC 27518-8582 Ph: (919) 467-3831 | Western Wake Counseling & Psychological Services, Pllc 8000 Regency Pkwy Suite 570 Cary NC 27518-8582 Ph: (919) 467-3831 |
| NPI Number | 1275779571 |
|---|---|
| Provider Enumeration Date | 12/17/2008 |
| Last Update Date | 04/01/2015 |
| Medicare PECOS PAC ID | 7214108513 |
|---|---|
| Medicare Enrollment ID | O20110919000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275779571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2878 (North Carolina) | Primary |
| Provider Name | Tammie Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881806958 PECOS PAC ID: 9032380332 Enrollment ID: I20110919000036 |
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