Organization · NPI-2

3-C Family Services

Psychologist, Clinical · Cary, NC

NPI number1629447685
StatusActive
Last updated in NPPESSep 21, 2015

Details

NPI
1629447685
Entity type
Organization (NPI-2)
Legal business name
3-C Family Services
Organization subpart
No
Enumeration date
Sep 21, 2015
Last updated
Sep 21, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical4838NCYes
103TS0200X Psychologist, School4838NC

Practice location

1901 N Harrison Ave
Suite 100
Cary, NC 27513-2410

Phone 919-677-0101 · Fax 919-677-0113

Mailing address

1901 N Harrison Ave
Suite 100
Cary, NC 27513-2410

Phone 919-677-0101 · Fax 919-677-0113

Authorized official

Don Azevedo
Clinic Director
9196770101

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychologist, Clinical providers in Cary, NC