Provider Demographics
NPI:1609461250
Name:RALEIGH PSYCHOLOGICAL SERVICES PLLC
Entity type:Organization
Organization Name:RALEIGH PSYCHOLOGICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KAITLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:DECHANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-580-7763
Mailing Address - Street 1:7557 RAMBLER RD STE 740
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-2390
Mailing Address - Country:US
Mailing Address - Phone:469-580-7763
Mailing Address - Fax:214-736-2482
Practice Address - Street 1:7557 RAMBLER RD STE 740
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-2390
Practice Address - Country:US
Practice Address - Phone:469-580-7763
Practice Address - Fax:214-736-2482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-05
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty