Organization · Type 2 NPI

Southeastpsych Ballantyne, PLLC

Psychologist · Charlotte, NC

NPI number 1902318249 Active

Practice location

15720 Brixham Hill Ave Ste 150
Charlotte, NC 28277-4785

Fax (704) 970-4794

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Psychologist Primary 103T00000XNone listed
Clinical Social Worker 1041C0700XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1902318249

Southeastpsych Ballantyne, PLLC's National Provider Identifier is 1902318249, issued on Oct 26, 2017. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Charlotte, NC. The record was last updated on Dec 4, 2023.