| NPI | 1740401033 |
|---|---|
| Doing Business As | WAKE PSYCHOLOGICAL HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | THERESA O LEWIS Psychologist 919-622-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 2866) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC1900X Psychologist, Counseling | |
| 103TH0004X Psychologist, Health | |
| 103TH0100X Psychologist, Health Service (Licence: NC 2866) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2018-08-26 |