| Tooley Group | |
|
106 Ridge View Dr Suite D Cary NC 27511-6647 | |
| (919) 467-2464 | |
| (919) 467-8653 |
| Full Name | Tooley Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 106 Ridge View Dr, Cary, North Carolina |
| Authorized Official Name and Position | Joseph Hicks Tooley (PSYCHOLOGIST) |
| Authorized Official Contact | 9194672464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooley Group 106 Ridge View Dr Suite D Cary NC 27511-6647 Ph: (919) 467-2464 | Tooley Group 106 Ridge View Dr Suite D Cary NC 27511-6647 Ph: (919) 467-2464 |
| NPI Number | 1861826752 |
|---|---|
| Provider Enumeration Date | 08/27/2013 |
| Last Update Date | 08/27/2013 |
| Medicare PECOS PAC ID | 1557595956 |
|---|---|
| Medicare Enrollment ID | O20131017000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861826752 | NPI | - | NPPES |
| 600503 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 851 (North Carolina) | Primary |
| Provider Name | Joseph H Tooley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164415881 PECOS PAC ID: 7315036514 Enrollment ID: I20080103000760 |
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