Individual provider · Type 1 NPI

Randolph Carey Wall, PhD

Clinical Psychologist · Charlotte, NC

NPI number 1659345163 Active

Practice location

417 S Sharon Amity Rd
Charlotte, NC 28211-2875

Fax (704) 364-5481

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X1074 (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 1659345163

Randolph Carey Wall, PhD's National Provider Identifier is 1659345163, issued on Feb 14, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Charlotte, NC. The record was last updated on Jul 13, 2026.