Organization
PEDIATRIC & FAMILY PSYCHOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSALIND LEAH HEIKO PH.D. (DIRECTOR)
(919) 517-2697
Entity
Organization
Contact information
Practice address
531 KEISLER DR, SUITE 203, CARY, NC 27518-9307
(919) 517-2697
Mailing address
531 KEISLER DR, SUITE 203, CARY, NC 27518-9307
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1055
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6001130
—
NC
Enumeration date
03/01/2010
Last updated
03/01/2010
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