Organization · Type 2 NPI

Carolinas Medical Center

Clinical Psychologist · Charlotte, NC

NPI number 1720334204 Active

Practice location

7825 Ballantyne Commons Pkwy, Suite A
Charlotte, NC 28277-3174

Fax (704) 446-8038

Mailing address

PO Box 601372
Charlotte, NC 28260-1372

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Psychologist Primary 103TC0700XNone listed

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 1720334204

Carolinas Medical Center's National Provider Identifier is 1720334204, issued on Aug 2, 2012. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Charlotte, NC. The record was last updated on Aug 11, 2016.