Individual
DR. TINA LEPAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1703 LEGION RD, SUITE 204, CHAPEL HILL, NC 27517-2359
(919) 933-5355
(919) 929-3227
Mailing address
1703 LEGION RD, SUITE 204, CHAPEL HILL, NC 27517-2359
(919) 933-5355
(919) 929-3227
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2865
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000832
—
NC
Enumeration date
04/11/2007
Last updated
07/09/2007
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