Healthcare Provider Details

I. General information

NPI: 1033409537
Provider Name (Legal Business Name): SARAH NICOLETTE O'SHEA PHD, LP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2011
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 SE MAYNARD RD STE 203
CARY NC
27511-6945
US

IV. Provider business mailing address

1230 SE MAYNARD RD STE 203
CARY NC
27511-6945
US

V. Phone/Fax

Practice location:
  • Phone: 919-473-6368
  • Fax:
Mailing address:
  • Phone: 919-473-6368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number5594
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: