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Organization

LORRAINE L MATTHEWS, PSYD, PC

Active
Parent organization
TRIANGLE ACT, INC.
Other names
Triangle ACT Psychology
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRIANGLE ACT, INC.
Authorized official
DR. LORRAINE LISSEMORE MATTHEWS PSYD (PRESIDENT/PSYCHOLOGIST)
(919) 465-2550
Entity
Organization

Contact information

Practice address
103 BRADY CT STE A, CARY, NC 27511-4574
(919) 465-2550
Mailing address
103 BRADY CT STE A, CARY, NC 27511-4574
(919) 465-2550

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3218
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6001116
NC
Enumeration date
12/05/2011
Last updated
12/05/2011
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