Provider Demographics
NPI:1598977621
Name:TRIANGLE PSYCHOEDUCATIONAL CONSULTANTS
Entity Type:Organization
Organization Name:TRIANGLE PSYCHOEDUCATIONAL CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:STALLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:919-789-8989
Mailing Address - Street 1:3820 MERTON DRIVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609
Mailing Address - Country:US
Mailing Address - Phone:919-789-8989
Mailing Address - Fax:919-789-8988
Practice Address - Street 1:3820 MERTON DRIVE
Practice Address - Street 2:SUITE 205
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609
Practice Address - Country:US
Practice Address - Phone:919-789-8989
Practice Address - Fax:919-789-8988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2784174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC013GJOtherBLUECROSSBLUESHIELD-GRP
NC045RUOtherBLUECROSSBLUESHIELD-IND.