Organization
REDSTART PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON BLAKEY PHD (REGISTERED AGENT)
(919) 283-3698
Entity
Organization
Contact information
Practice address
600 PARK OFFICES DRIVE, STE 300, #4030, DURHAM, NC 27713-2887
(919) 283-3698
Mailing address
600 PARK OFFICES DRIVE, STE 300, #4030, DURHAM, NC 27713-2887
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/21/2025
Last updated
06/21/2025
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