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Organization
WAKE PSYCHOLOGICAL SERVICES
Active
Organization
WAKE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIJUANA CROSBY (PRESIDENT)
(919) 308-8470
Entity
Organization
Contact information
Practice address
1612 BARONY LAKE WAY, RALEIGH, NC 27614-8478
(919) 308-8470
Mailing address
1612 BARONY LAKE WAY, RALEIGH, NC 27614-8478
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2119
NC
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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