Provider Demographics
NPI:1114447877
Name:PSYCHIATRIC SERVICES AND CONSULTATION, PC
Entity Type:Organization
Organization Name:PSYCHIATRIC SERVICES AND CONSULTATION, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:KNAUDT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-851-3939
Mailing Address - Street 1:11 COOLIDGE PL
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-7534
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:919-309-9629
Practice Address - Street 1:547 KEISLER DR STE 104
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-9309
Practice Address - Country:US
Practice Address - Phone:919-851-3939
Practice Address - Fax:919-309-9629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-23
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC006192084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty