Individual
DR. LISE LEIGH OSVOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
5500 MCNEELY DR, SUITE 101, RALEIGH, NC 27612-7623
(919) 787-1240
(919) 787-1241
Mailing address
913 W SOUTH ST, RALEIGH, NC 27603-2159
(919) 787-1240
(919) 787-1241
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2675
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000547
—
NC
Enumeration date
07/20/2006
Last updated
07/08/2007
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