| Dr Kelly Cristen O'laughlin, MT-BC, PSYD | |
| 4515 Premier Dr Ste 402a, High Point, NC 27265-8356 | |
| (336) 702-1255 | |
| (336) 802-2201 | 
| Full Name | Dr Kelly Cristen O'laughlin | 
|---|---|
| Gender | Female | 
| Speciality | Psychologist | 
| Location | 4515 Premier Dr Ste 402a, High Point, North Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669774618 | NPI | - | NPPES | 
| 6001256 | Medicaid | NC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4074 (North Carolina) | Secondary | 
| 103T00000X | Psychologist | (* (Not Available)) | Primary | 
| Entity Name | Wake Forest Health Network Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477785756 PECOS PAC ID: 4183538895 Enrollment ID: O20031117000868 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Kelly Cristen O'laughlin, MT-BC, PSYD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-1331 | Dr Kelly Cristen O'laughlin, MT-BC, PSYD 4515 Premier Dr Ste 402a, High Point, NC 27265-8356 Ph: (336) 702-1255 | 
| Jennifer Linn Gagne', PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4515 Premier Dr Ste 402a, High Point, NC 27265 Phone: 336-702-1255 Fax: 336-802-2201 | |
| Rebecca Lynn Frazier, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1814 Westchester Dr Ste 402, High Point, NC 27262 Phone: 336-802-2205 Fax: 336-802-2208 | |
| Michael V. Kirch, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1208 Eastchester Dr, Suite 200, High Point, NC 27265 Phone: 336-802-2536 Fax: 336-802-2534 | |
| Dr. Jennifer D. Clayton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 721 N Elm St, Ste 101, High Point, NC 27262 Phone: 336-802-2205 Fax: 336-802-2599 | |
| Sharon A Barnes, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1208 Eastchester Dr, Suite 200, High Point, NC 27265 Phone: 336-802-2536 Fax: 336-802-2534 | |
| Dr. Susanne Laree Palmer, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1208 Eastchester Dr Ste 200, High Point, NC 27265 Phone: 336-802-2205 Fax: 336-802-2206 | |
| Thomas Austin Harrison, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 721 N Elm St, Suite 101, High Point, NC 27262 Phone: 336-802-2205 Fax: 336-802-2599 |