| Ann Smolin, Ph.d., Pllc | |
|
4425 Randolph Rd Suite 411 Charlotte NC 28211-2351 | |
| (704) 576-7210 | |
| (704) 362-1170 |
| Full Name | Ann Smolin, Ph.d., Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 4425 Randolph Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Ann Smolin (MEMBER) |
| Authorized Official Contact | 7045767210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Smolin, Ph.d., Pllc 4425 Randolph Rd Suite 411 Charlotte NC 28211-2351 Ph: (704) 576-7210 | Ann Smolin, Ph.d., Pllc 4425 Randolph Rd Suite 411 Charlotte NC 28211-2351 Ph: (704) 576-7210 |
| NPI Number | 1508127127 |
|---|---|
| Provider Enumeration Date | 05/30/2012 |
| Last Update Date | 05/30/2012 |
| Medicare PECOS PAC ID | 9032375712 |
|---|---|
| Medicare Enrollment ID | O20120724001012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508127127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4236 (North Carolina) | Primary |
| Provider Name | Ann M Smolin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114081668 PECOS PAC ID: 6709967920 Enrollment ID: I20120724001043 |
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