Conder, Robert Lake

Conder, Robert Lake is an individual health care provider with primary practice located at 1540 Sunday Dr Suite 200, Raleigh NC 27607-6000. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Conder, Robert Lake can be contacted via phone (919) 859-9040.

Contact Information

Primary practice address
1540 Sunday Dr Suite 200 Raleigh NC 27607-6000
Phone: (919) 859-9040
Fax: (919) 859-9030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1397 North Carolina

Profile Details

NPI number 1891892337
LBN Legal business name Conder, Robert Lake
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891892337 NPPES
North Carolina MEDICAID 6000627
North Carolina Other 0324F

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