Organization
PSYCHOLOGICAL SERVICES OF RALEIGH, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KILBURN PH.D. (OWNER)
(919) 781-5162
Entity
Organization
Contact information
Practice address
4016 BARRETT DR, SUITE 104, RALEIGH, NC 27609-6623
(919) 781-5162
Mailing address
4016 BARRETT DR, SUITE 104, RALEIGH, NC 27609-6623
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
606
NC
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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