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Organization

VERGOLIAS PSYCHOLOGICAL CONSULTANTS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEORGE LAMBROS VERGOLIAS PSY.D. (OWNER/DIRECTOR)
(919) 523-8817
Entity
Organization

Contact information

Practice address
10400 SUMMERTON DR, RALEIGH, NC 27614-8788
(919) 523-8817
(919) 803-8853
Mailing address
10400 SUMMERTON DR, RALEIGH, NC 27614-8788
(919) 523-8817
(919) 803-8853

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2721
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6000653
NC
Enumeration date
03/11/2008
Last updated
03/11/2008
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