Organization
CAROLINA NEUROPSYCHOLOGICAL SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LAKE CONDER JR. PSY.D. (PRESIDENT)
(919) 859-9040
Entity
Organization
Contact information
Practice address
1540 SUNDAY DR, SUITE 200, RALEIGH, NC 27607-6000
(919) 859-9040
(919) 859-9030
Mailing address
1540 SUNDAY DR, SUITE 200, RALEIGH, NC 27607-6000
(919) 859-9040
(919) 859-9030
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0111
NC
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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