| Wake County Psychological Services, Inc. | |
|
1906 S Main St Suite 120 Wake Forest NC 27587-5033 | |
| (919) 562-1080 | |
| (919) 570-3243 |
| Full Name | Wake County Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1906 S Main St, Wake Forest, North Carolina |
| Authorized Official Name and Position | Ambreen Joy Sheikh (PRESIDENT) |
| Authorized Official Contact | 9195621080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wake County Psychological Services, Inc. 1906 S Main St Suite 120 Wake Forest NC 27587-5033 Ph: (919) 562-1080 | Wake County Psychological Services, Inc. 1906 S Main St Suite 120 Wake Forest NC 27587-5033 Ph: (919) 562-1080 |
| NPI Number | 1447343454 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/09/2010 |
| Medicare PECOS PAC ID | 0941252571 |
|---|---|
| Medicare Enrollment ID | O20050211000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447343454 | NPI | - | NPPES |
| 6005282 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Ambreen J Sheikh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245323237 PECOS PAC ID: 5193627370 Enrollment ID: I20041004000997 |
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