Individual
DR. LIA MARIE PATE-CAROLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3141 JOHN HUMPHRIES WYND, SUITE 275, RALEIGH, NC 27612-5438
(919) 783-5431
(919) 783-6480
Mailing address
3141 JOHN HUMPHRIES WYND, SUITE 275, RALEIGH, NC 27612-5438
(919) 783-5431
(919) 783-6480
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3230
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046XC
BLUE CROSS BLUE SHIELD
NC
05
—
6000896
—
NC
Enumeration date
06/21/2006
Last updated
02/15/2010
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