Organization · Type 2 NPI

Southeast Psychological Services PLLC

Clinical Psychologist · Charlotte, NC

NPI number 1407090707 Active

Practice location

8840 Blakeney Professional Dr, Suite 200
Charlotte, NC 28277-6718

Call (704) 552-0116 Map

Fax (704) 552-7550

Mailing address

6115 Park South Dr, Suite 130
Charlotte, NC 28210-3269

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X5021 (NC)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1407090707

Southeast Psychological Services PLLC's National Provider Identifier is 1407090707, issued on Apr 30, 2009. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Charlotte, NC. The record was last updated on Apr 30, 2009.