Organization
LEPAGE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA LEPAGE PSY.D. (PRACTICE OWNER)
(919) 572-0000
Entity
Organization
Contact information
Practice address
5842 FAYETTEVILLE ROAD, SUITE 106, DURHAM, NC 27713
(919) 572-0000
(919) 572-9999
Mailing address
5842 FAYETTEVILLE ROAD, SUITE 106, DURHAM, NC 27713
(919) 572-0000
(919) 572-9999
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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