Organization
RALEIGH PSYCHOLOGY AND COUNSELING, PA
Active
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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