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Organization
SOUTHERN PSYCHOLOGY P A
Active
Organization
SOUTHERN PSYCHOLOGY P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHARINE V RALEIGH PH.D., M.P.H. (DIRECTOR)
(919) 419-0900
Entity
Organization
Contact information
Practice address
3500 WESTGATE DR, SUITE 601, DURHAM, NC 27707-2567
(919) 419-0900
(919) 419-0991
Mailing address
3500 WESTGATE DR, SUITE 601, DURHAM, NC 27707-2567
(919) 419-0900
(919) 419-0991
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
3032
NC
Other
Enumeration date
04/10/2007
Last updated
07/28/2009
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