Organization · Type 2 NPI
Alisaha's Home Center
Health Service Psychologist · Charlotte, NC
Practice location
8221 Ainsworth St
Charlotte, NC 28216-3693
Fax (704) 599-2915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | 192299 (NC) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
About NPI 1053755934
Alisaha's Home Center's National Provider Identifier is 1053755934, issued on Apr 23, 2013. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Charlotte, NC. The record was last updated on Apr 23, 2013.