Organization
PSYCHOLOGICAL HEALTH ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL R KRASNER PHD (PRESIDENT)
(919) 467-2876
Entity
Organization
Contact information
Practice address
102 COMMONWEALTH CT, STE H, CARY, NC 27511-4437
(919) 467-2876
(919) 467-6871
Mailing address
102 COMMONWEALTH CT, STE H, CARY, NC 27511-4437
(919) 467-2876
(919) 467-6871
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
751
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0267G
BLUE CROSS/ BLUE SHIELD
NC
Enumeration date
05/28/2006
Last updated
03/12/2015
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