Organization
RALEIGH PSYCHOLOGY AND COUNSELING, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JOHN FLANNELLY PH.D. PSYCHOLOGIST (LICENSED PSYCHOLOGIST/OWNER)
(919) 845-7445
Entity
Organization
Contact information
Practice address
8524 SIX FORKS RD, SUITE 203, RALEIGH, NC 27615-3099
(919) 845-7445
(919) 845-7443
Mailing address
8524 SIX FORKS RD, SUITE 203, RALEIGH, NC 27615-3099
(919) 845-7445
(919) 845-7443
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
HSP-P #2253
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0288M
BLUE CROSS/BLUE SHIELD
NC
Enumeration date
08/14/2007
Last updated
08/14/2007
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